# UNIVERSITY OF INDIANAPOLIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Koval Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386923258
- **Authorized official:** MR. MICHAEL BRAUGHTON (V PRES. FOR BUS.& FINANCE AND TREAS)
- **Authorized official phone:** (317) 788-3301

## Contact information

- **Practice address:** 1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
- **Practice address phone:** (317) 788-3206
- **Practice address fax:** (317) 788-6208
- **Mailing address:** 1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
- **Mailing address phone:** (317) 788-3206
- **Mailing address fax:** (317) 788-6208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 02/20/2013
