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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SUSAN REBEKAH DEFRAIN, NP-C

Active

MRS. SUSAN REBEKAH DEFRAIN, NP-C is a Gerontological Nurse Practitioner healthcare provider located in FORT WAYNE, Indiana. NPI 1174064562 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · FORT WAYNE, IN

Registration Details

NPI Number
1174064562
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2017 (9.4079967911866 yrs)
Last Updated
Dec 5, 2025
License
AG02170207 (IN)

Practice Information

Address
5910 HOMESTEAD RD
FORT WAYNE, IN, 468144202
Browse IN providers · Browse ZIP 46814
Phone
2604353222
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in FORT WAYNE, IN

Name Credential NPI
MARY CATHERINE PARKER MSN, GNP-C 1386661064
MS. WILMA A COX NP 1790898088
NIKKI J MANN GNP-C 1336278753
AMANDA K LUTTER NP 1912322264
ELIZABETH A ADAMS NP 1164847372
JENNIFER FOLEY NP 1164831509
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.