Individual provider · Type 1 NPI

Kelsea Kay Lerose, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1124629936 Active

Practice location

11123 Parkview Plaza Dr
Fort Wayne, IN 46845-1707

Call (260) 425-6650 Map

Mailing address

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28222424A (IN)
Nurse Practitioner Primary 363L00000X71010736A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124629936

Kelsea Kay Lerose, NP's National Provider Identifier is 1124629936, issued on Nov 6, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 14, 2022.