Individual
KATHERINE ROSE AHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1801 SENATE BLVD STE 230, INDIANAPOLIS, IN 46202-1252
(317) 962-5820
(317) 962-3916
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71008201A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001205171
ANTHEM PTAN
IN
05
—
300029145
—
IN
Enumeration date
08/08/2018
Last updated
02/07/2025
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