Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathi Shifferly, REGISTREDNURSE

Individual provider Registered Nurse · NPI 1861192890

Kathi Shifferly, REGISTREDNURSE is a Registered Nurse in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023

Practice location Address checks out

2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 421-1092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 28213433A (IN)

Record details

NPI number1861192890
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTREDNURSE
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESMarch 8, 2023
Certification dateFebruary 28, 2023

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