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Individual

DEBRA D VANNATTER KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1719 W 10TH ST, INDIANAPOLIS, IN 46222-3801
(317) 631-2005
(317) 624-1550
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000574A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71000574A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200194750
IN
Enumeration date
08/20/2006
Last updated
02/23/2021
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