Individual
KORTNI MARIE HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 962-3400
(317) 944-0208
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28241090A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012196A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300060598
—
IN
Enumeration date
02/04/2022
Last updated
05/05/2022
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