Individual
KATELYN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8333 NAAB RD STE 300, INDIANAPOLIS, IN 46260-1983
(317) 583-7800
Mailing address
8333 NAAB RD STE 300, INDIANAPOLIS, IN 46260-1983
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71012690A
IN
Other
Enumeration date
05/25/2022
Last updated
12/14/2022
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