Individual
MRS. KELLY MARIE BATTHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
8402 HARCOURT RD STE 402, INDIANAPOLIS, IN 46260-2053
(317) 338-6563
Mailing address
8402 HARCOURT RD STE 402, INDIANAPOLIS, IN 46260-2053
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71002083A
IN
363LP0222X
Critical Care Pediatric Nurse Practitioner
71002083A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201005130
—
IN
Enumeration date
09/11/2007
Last updated
05/23/2022
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