Individual provider · Type 1 NPI
Kathryn M. Gjeldum, ANP-BC
Adult Health Nurse Practitioner · Portage, IN
NPI number
1336165406
Active
Practice location
6375 US Highway 6 Ste B
Portage, IN 46368-5218
Fax (219) 762-2460
Mailing address
10625 Olcott Ave
St. John, IN 46373-8966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 71001746A (IN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71001746A (IN) |
Adult Health Nurse Practitioner: Definition to come...
4 other providers at this address
Other adult health nurse practitioner providers in Portage
About NPI 1336165406
Kathryn M. Gjeldum, ANP-BC's National Provider Identifier is 1336165406, issued on Jul 14, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portage, IN. The record was last updated on Nov 6, 2025.