Individual provider · Type 1 NPI

Kevin D. Waldo Sr., NP

Nurse Practitioner · Warsaw, IN

NPI number 1356018543 Active

Practice location

1355 Mariners Dr
Warsaw, IN 46582-7145

Fax (260) 266-5219

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71011479A (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 1356018543

Kevin D. Waldo Sr., NP's National Provider Identifier is 1356018543, issued on Aug 25, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Warsaw, IN. The record was last updated on Sep 2, 2025.