Individual
KATRINA SCHABACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15900 W 101ST AVE, DYER, IN 46311-3065
(219) 365-6333
(219) 365-8291
Mailing address
15900 W 101ST AVE, DYER, IN 46311-3065
(219) 365-6333
(219) 365-8291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006423A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71006423A
IN LICENSE
IN
Enumeration date
07/06/2016
Last updated
04/09/2021
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