Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addisen Marie Prater

Individual provider Nurse's Aide · NPI 1629899091

Addisen Marie Prater is a Nurse's Aide in Fort Wayne, Indiana. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 435-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X

Record details

NPI number1629899091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

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