Kathleen A Carlson
Nurse Practitioner Rheumatology Nurse Practitioner - Adult Health
3900 St Francis Way Ste 200
Lafayette
, Indiana 47905
Kathleen A Carlson
Nurse Practitioner Rheumatology Nurse Practitioner - Adult Health
3900 St Francis Way Ste 200
Lafayette
, Indiana 47905
(317) 865-1479
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About
Features
Specialties
- Rheumatology
- Nurse Practitioner
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Kathleen A Carlson
- Po Box 781076
- Detroit, MI
- Zip : 48278-1076
- Fax : (317) 865-1479
- Phone : (317) 528-4800
Second Address
- Kathleen A Carlson
- 3900 St Francis Way Ste 200
- Lafayette, IN
- Zip : 47905
- Fax : (765) 775-2831
- Phone : (765) 775-2800
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RR0500X | Rheumatology | 71000108A | IN |
| N | 363L00000X | Nurse Practitioner | 71000108 | IN |
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 071000108A | IN |
National Provider Identifier
| NPI | 1043253081 |
|---|---|
| Provider Name | Kathleen A Carlson |
| First Address | Detroit, MI 48278-1076 |
| Second Address | Lafayette, IN 47905 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 19/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200062110 | (05) | IN |
| 200062110A | (05) | IN |
| P 10536 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.