MEDICARE: PRACTICAL FAMILY MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1033084488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRACTICAL FAMILY MEDICINE

Provider Business Mailing Address
First Line	:	610 N WAYNE ST UNIT H2
Second Line	:
City	:	ANGOLA
State	:	IN
Zip	:	46703-1088
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 N WAYNE ST UNIT H2
Second Line	:
City	:	ANGOLA
State	:	IN
Zip	:	46703-1088
Country	:	US
Telephone Number	:	260-316-0782
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	CHRISHAWNA DYANE SCHIEBER
Credential	:	FNP
Telephone Number	:	260-316-0782

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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Directions to “PRACTICAL FAMILY MEDICINE ” Practice Location

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