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CHANDRA LEIGH PETRO NP
NPI 1841534880
Nurse Practitioner - Family in Fort Wayne, IN

Active since November 15, 2012
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 458-3830 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chandra Leigh Petro Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANDRA LEIGH PETRO NP (NPI 1841534880) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71004173A) and active in the NPI registry since November 2012. She maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1841534880
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHANDRA LEIGH PETROCredential: NP
Location Address7333 W JEFFERSON BLVDFort Wayne, IN 46804-6280
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3516 · Fax (260) 479-3520
Phone(260) 458-3830
Sole ProprietorNo
Enumeration DateNovember 15, 2012
Last NPPES UpdateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1841534880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71004173A
7333 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Secondary Practice Location 1

Location 12012 S Park AveAlexandria, IN 46001-8194 · Phone (765) 724-6226 · Fax (765) 724-6228

Other Identifiers 1

Medicaid201120880IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROLAND STUCKEY MD
Family Medicine
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 458-3830
DANIELLE PACELLA PA-C
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 458-3830
MELISSA SUE PARNIN APRN
Nurse Practitioner (Family)
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 458-3830
AUTUMNE BERGHOFF PA-C
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 458-3830
MEGAN ANNE KEATING PA
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 458-3830
KIMBERLY B CROMP
Nurse Practitioner (Adult Health)
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7334
KIMBERLY A. BURNS NP
Nurse Practitioner (Family)
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7334
AMBER APPLE NURSE PRACTITIONER
Nurse Practitioner (Family)
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7839

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandra Petro's NPI number?

The NPI number for Chandra Petro is 1841534880. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Chandra Petro located?

Chandra Petro practices at 7333 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 458-3830.

What is Chandra Petro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Chandra Petro was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.