Individual
KAITLYN TINIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008716A
IN
363LA2100X
Acute Care Nurse Practitioner
71008716A
IN
Other
Enumeration date
01/28/2019
Last updated
04/30/2025
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