KATHLEEN VANDERREYDEN

FORT WAYNE, IN
NPI1225668312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  7100966A)
Enumeration Date2020-01-17
Last Update Date2025-10-23
Business Address
Mrs. KATHLEEN VANDERREYDEN NP
3030 LAKE AVE STE 24
FORT WAYNE, IN 46805-5428
Phone number: 260-201-3119
Mailing Address
Mrs. KATHLEEN VANDERREYDEN NP
3030 LAKE AVE STE 24
FORT WAYNE, IN 46805-5428
Phone number: 260-201-3119