Individual provider · Type 1 NPI

Rebecca Chantelois, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1992362131 Active

Practice location

8233 Glencarin Blvd
Fort Wayne, IN 46804-5784

Call (260) 425-5470 Map

Fax (260) 425-5475

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71009085A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992362131

Rebecca Chantelois, NP's National Provider Identifier is 1992362131, issued on May 23, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 30, 2023.