Individual
KATHERINE B HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8101 CLEARVISTA PKWY, SUITE 200, INDIANAPOLIS, IN 46256-4675
(317) 621-5390
(317) 621-7885
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-4139
(317) 621-7885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001959A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200956020
—
IN
01
—
P01157044
MEDICARE RR
IN
Enumeration date
07/27/2006
Last updated
11/27/2017
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