| Practical Family Medicine, LLC | |
|
610 N Wayne St Unit H2 Angola IN 46703-1088 | |
| (260) 316-0782 | |
| Not Available |
| Full Name | Practical Family Medicine, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 N Wayne St Unit H2, Angola, Indiana |
| Authorized Official Name and Position | Chrishawna Dyane Schieber (NURSE PRACTITIONER) |
| Authorized Official Contact | 2603160782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Family Medicine, LLC 610 N Wayne St Unit H2 Angola IN 46703-1088 Ph: (260) 243-4003 | Practical Family Medicine, LLC 610 N Wayne St Unit H2 Angola IN 46703-1088 Ph: (260) 316-0782 |
| NPI Number | 1033084488 |
|---|---|
| Provider Enumeration Date | 10/07/2025 |
| Last Update Date | 01/15/2026 |
| Certification Date | 01/15/2026 |
| Medicare PECOS PAC ID | 1658852645 |
|---|---|
| Medicare Enrollment ID | O20260227000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033084488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Chrishawna Dyane Schieber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255827374 PECOS PAC ID: 4587913868 Enrollment ID: I20180820002548 |
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