Dettmer, Kristen Michelle

Dettmer, Kristen Michelle is an individual health care provider with primary practice located at 11115 Parkview Plaza Dr , Fort Wayne IN 46845-1701. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dettmer, Kristen Michelle can be contacted via phone (260) 266-5400.

Contact Information

Primary practice address
11115 Parkview Plaza Dr Fort Wayne IN 46845-1701
Phone: (260) 266-5400
Fax: (260) 425-5715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 28210703A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28210703A Indiana

Profile Details

NPI number 1235985938
LBN Legal business name Dettmer, Kristen Michelle
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2024
Last updated Jul 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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