Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLIN ETZCORN, NP-C
ActiveKAITLIN ETZCORN, NP-C is a Family Nurse Practitioner healthcare provider located in FORT WAYNE, Indiana. NPI 1972106847 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FORT WAYNE, IN
Registration Details
- NPI Number
- 1972106847
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2020 (5.5484590424326 yrs)
- Last Updated
- Aug 13, 2021
- Licenses
-
28197283A (IN)71011071A (IN)
Practice Information
- Address
-
5050 N CLINTON STFORT WAYNE, IN, 468255886Browse IN providers · Browse ZIP 46825
- Phone
- 2604848551
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA K GORRELL | NP | 1316932734 |
| SHARON J. MARRS | FNP | 1669463907 |
| RUTH M POPPELE | NURSE PRACTITIONER | 1851375364 |
| LISA L YARGER | CFNP | 1548232259 |
| LEEANN K. PATTERSON | DNP | 1831167436 |
| DIANE LEWTON | N.P. | 1518926443 |
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.