Individual provider · Type 1 NPI

Katrina M. Carlson

Nurse Practitioner · Lagrange, IN

NPI number 1740719244 Active

Practice location

2600 N Detroit St
Lagrange, IN 46761-1154

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71007375A (IN)
Registered Nurse 163W00000X28166709A (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 1740719244

Katrina M. Carlson's National Provider Identifier is 1740719244, issued on Jun 8, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lagrange, IN. The record was last updated on Oct 10, 2022.