Individual provider · Type 1 NPI

Kaitlin Wickersham-Shafer, NP

Nurse Practitioner · Logansport, IN

NPI number 1831829233 Active

Practice location

1101 Michigan Ave
Logansport, IN 46947-1528

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71012651A (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 1831829233

Kaitlin Wickersham-Shafer, NP's National Provider Identifier is 1831829233, issued on Jun 16, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Logansport, IN. The record was last updated on Mar 31, 2025.