KAITLYN A HENRICKS

FORT WAYNE, IN
NPI1811882095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71016768A)
Additional Taxonomies163WE0003X Registered Nurse, Emergency
(Licence: IN  28263557A)
Enumeration Date2025-06-10
Last Update Date2025-09-23
Business Address
KAITLYN A HENRICKS
11141 PARKVIEW PLAZA DR STE 320
FORT WAYNE, IN 46845-1714
Phone number: 260-425-5400
Mailing Address
KAITLYN A HENRICKS
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: