Individual
MRS. KATLYN DANIELLE CORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NP
Contact information
Practice address
333 S MADISON ST, MUNCIE, IN 47305-2465
(765) 286-7000
(765) 213-2769
Mailing address
2316 NUTTMAN AVE, FORT WAYNE, IN 46809-1202
(260) 409-3997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28235248A
IN
363LF0000X
Family Nurse Practitioner
Primary
28235248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F05210566
FAMILY NURSE PRACTITIONER CERTIFICATION
IN
Enumeration date
07/19/2021
Last updated
08/22/2022
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