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Kathryn M Gjeldum, ANP-BC
Adult Health Nurse Practitioner in Portage, Indiana
NPI 1336165406

Kathryn M Gjeldum is an Adult Health Nurse Practitioner based in Merrillville, IN and is specialized in Adult Health. Kathryn M Gjeldum practices in Portage, IN and has the professional credentials of ANP-BC. The NPI Number for Kathryn M Gjeldum is 1336165406 and holds a License No. 71001746A (Indiana).

The current practice location address for Kathryn M Gjeldum is 6375 Us Highway 6 Ste B, Portage, IN and can be reached out via phone at 219-762-0400 and via fax at 219-762-2460. You can also correspond with Kathryn M Gjeldum through the mailing address at 8558 BROADWAY, MERRILLVILLE, IN - 46410-7032 (mailing address contact number: 219-239-2170).

Location: 6375 Us Highway 6 Ste B, Portage, IN, 46410-7032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336165406
Provider Name
Kathryn M Gjeldum
Credential
ANP-BC
Provider Entity Type
Individual
Gender
Female
Address
6375 Us Highway 6 Ste B, Portage, IN, 46410-7032
Phone Number
219-762-0400
Fax Number
219-762-2460
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200805880 05 IN
000000594185 01 IN ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
6375 Us Highway 6 Ste B
City
Portage
State
Indiana
Zip
46368-5218
Phone Number
219-762-0400
Fax Number
219-762-2460
person
Provider Business Mailing Address Details
Address
6375 Us Highway 6 Ste B
City
Portage
State
Indiana
Zip
46368-5218
Phone Number
219-762-0400
Fax Number
219-762-2460
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71001746A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
71001746A (Indiana)
Definition
Definition to come...
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