Individual
KATELYN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 MARINERS DR, WARSAW, IN 46582-7145
(574) 372-1282
(574) 372-1275
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
28274530A
IN
363L00000X
Nurse Practitioner
Primary
71016624A
IN
Other
Enumeration date
03/13/2025
Last updated
09/02/2025
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