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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KATHLEEN VANDERREYDEN, NP

Active

MRS. KATHLEEN VANDERREYDEN, NP is a Nurse Practitioner healthcare provider located in FORT WAYNE, Indiana. NPI 1225668312 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · FORT WAYNE, IN

Registration Details

NPI Number
1225668312
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2020 (6.5769326843425 yrs)
Last Updated
Oct 23, 2025
License
7100966A (IN)

Practice Information

Address
3030 LAKE AVE STE 24
FORT WAYNE, IN, 468055428
Browse IN providers · Browse ZIP 46805
Phone
2602013119
Fax
2602337416
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in FORT WAYNE, IN

Name Credential NPI
KAREN E. SPRINGER NP 1225035421
BEATRICE K TROXELL NP 1376542126
REGINALD L HUMPHREY NP 1619978178
JOYCE A FISHER NP 1962404392
VALERIE L STUCKY NP 1750373601
VICKI L BAHLS NP 1619962198
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.