Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 71009619A | IN |
NPI | 1073150918 |
---|---|
Provider Name | Katie Elizabeth Abney |
First Address | Carmel, IN 46032-4219 |
Second Address | Indianapolis, IN 46290-1028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2019 |
Last Update Date | 18/01/2020 |