Individual
KATHLEEN A NAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DRIVE, RR 208, INDIANAPOLIS, IN 46202-5109
(317) 274-4715
(317) 274-2065
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28150969
IN
363L00000X
Nurse Practitioner
71002214
IN
363LN0000X
Neonatal Nurse Practitioner
RN311453
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200884310
—
IN
Enumeration date
09/21/2006
Last updated
08/11/2022
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