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

Nathaniel Colglazier

Individual provider Physician Assistant · NPI 1215448568

Nathaniel Colglazier is a Physician Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
Specialties on file
2

Practice location Address checks out

11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 46845-0025
Phone: (260) 266-5260
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002350A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1215448568
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2017
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

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