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

Kristen Dettmer, PNP

Individual provider Pediatric Registered Nurse · NPI 1235985938

Kristen Dettmer, PNP is a Pediatric Registered Nurse in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 266-5400
Fax: (260) 425-5715
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 28210703A (IN)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 28210703A (IN)

Record details

NPI number1235985938
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedApril 24, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

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