Individual provider · Type 1 NPI

McKinzie Gale Edstene, PTA, CPNP

Pediatric Nurse Practitioner · New Castle, IN

NPI number 1073121091 Active

Practice location

930 N 14th St
New Castle, IN 47362-4311

Fax (765) 593-6001

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988

Other practice locations

  • 8905 Evergreen Ave, Indianapolis, IN 46240-2000 · (317) 571-1250

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X71018473A (IN)
Physical Therapy Assistant 225200000X06005891A (IN)

Pediatric Nurse Practitioner: Definition to come...

22 other providers at this address

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About NPI 1073121091

McKinzie Gale Edstene, PTA, CPNP's National Provider Identifier is 1073121091, issued on Jul 15, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Castle, IN. The record was last updated on Aug 6, 2026.