Individual
KAITLYN JOY CHITTICK-MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
8 JOHN KISSINGER DR, WABASH, IN 46992-1648
(260) 266-5379
(260) 266-5370
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010845A
IN
Other
Enumeration date
06/21/2020
Last updated
10/17/2022
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