Individual
KATHARINE ELIZABETH WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
714 N SENATE AVE STE 100, INDIANAPOLIS, IN 46202-3297
(317) 963-0166
(317) 963-2711
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28152855A
IN
363LF0000X
Family Nurse Practitioner
71012135A
IN
Other
Enumeration date
02/14/2022
Last updated
04/18/2022
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