Individual provider · Type 1 NPI

Evelin Keultjes, NP

Family Nurse Practitioner · South Bend, IN

NPI number 1699322446 Active

Practice location

1815 E Ireland Rd
South Bend, IN 46614-2845

Mailing address

12015 Peacock Cir
Granger, IN 46530-9511

Other practice locations

  • 2120 Rieth Blvd Ste A, Goshen, IN 46526-5858 · (574) 875-5126
  • 2120 Rieth Blvd Ste C, Goshen, IN 46526-5858 · (574) 875-6911

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X28216118A (IN)
Family Nurse Practitioner Primary 363LF0000X71009377A (IN)

Family Nurse Practitioner: Definition to come...

35 other providers at this address

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About NPI 1699322446

Evelin Keultjes, NP's National Provider Identifier is 1699322446, issued on Aug 26, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Oct 31, 2024.