Individual
KATHLEEN THEISEN STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 415-7921
Mailing address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
28224547C
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71015420A
IN
Other
Enumeration date
01/24/2024
Last updated
07/11/2024
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