Individual provider · Type 1 NPI

Kayla Nordman

Nurse Practitioner · Fort Wayne, IN

NPI number 1174360366 Active

Practice location

11143 Parkview Plaza Dr Ste 207
Fort Wayne, IN 46845-1728

Fax (260) 266-5379

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28216621A (IN)
Nurse Practitioner Primary 363L00000X71015587A (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 1174360366

Kayla Nordman's National Provider Identifier is 1174360366, issued on Jul 13, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 5, 2024.