Individual provider · Type 1 NPI

Kaitlin Etzcorn, NP-C

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1972106847 Active

Practice location

5050 N Clinton St
Fort Wayne, IN 46825-5886

Mailing address

10227 Greenmoor Dr
New Haven, IN 46774-2287

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Registered Nurse 163WX0800X28197283A (IN)
Family Nurse Practitioner Primary 363LF0000X71011071A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1972106847

Kaitlin Etzcorn, NP-C's National Provider Identifier is 1972106847, issued on Nov 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 13, 2021.