Individual
KAYLEEN M GRASHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6515 STELLHORN RD STE 200, FORT WAYNE, IN 46815-5436
(260) 458-3212
Mailing address
6515 STELLHORN RD STE 200, FORT WAYNE, IN 46815-5436
(260) 458-3212
(260) 458-3214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014870A
IN
363LP2300X
Primary Care Nurse Practitioner
28241226A
IN
Other
Enumeration date
12/11/2023
Last updated
04/30/2024
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