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Individual

KATINA A EVERDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2484 S BUSINESS 31, SUITE C, PERU, IN 46970-7312
(765) 472-2722
(765) 472-2722
Mailing address
2484 S BUSINESS 31, SUITE C, PERU, IN 46970-7312
(765) 472-2722
(765) 472-2722

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002806A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201163600
IN
Enumeration date
11/20/2008
Last updated
02/24/2016
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