Provider Demographics
NPI:1699549758
Name:RASTETTER, NANNETTE SUE
Entity type:Individual
Prefix:
First Name:NANNETTE
Middle Name:SUE
Last Name:RASTETTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7141 N 500 W
Mailing Address - Street 2:
Mailing Address - City:FRANKTON
Mailing Address - State:IN
Mailing Address - Zip Code:46044-9595
Mailing Address - Country:US
Mailing Address - Phone:765-620-1733
Mailing Address - Fax:
Practice Address - Street 1:7141 N 500 W
Practice Address - Street 2:
Practice Address - City:FRANKTON
Practice Address - State:IN
Practice Address - Zip Code:46044-9595
Practice Address - Country:US
Practice Address - Phone:765-620-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor