KRISTEN DETTMER

FORT WAYNE, IN
NPI1235985938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  28210703A)
Additional Taxonomies163WP0200X Registered Nurse, Pediatrics
(Licence: IN  28210703A)
Enumeration Date2024-04-24
Last Update Date2024-09-03
Business Address
KRISTEN DETTMER PNP
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-5400
Mailing Address
KRISTEN DETTMER PNP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: