Individual
MS. KASEY JO ZAWODNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-AC
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-0944
(317) 274-2940
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5018437
NC
363LP0200X
Pediatric Nurse Practitioner
71013463A
IN
363LP0222X
Critical Care Pediatric Nurse Practitioner
146725
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146725
LICENSCE
MO
01
—
774507
RN LICENSE
TX
Enumeration date
05/10/2006
Last updated
08/24/2023
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