Individual
KENDRA RENEE FURTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 887-7000
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2283721
MA
363LA2100X
Acute Care Nurse Practitioner
28882
SC
363LG0600X
Gerontology Nurse Practitioner
28191710A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71011734A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2283721
REGISTERED NURSE
MA
05
—
RN2283721
—
MA
Enumeration date
03/21/2020
Last updated
07/08/2024
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