Individual
KATIE COLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 N CAPITOL AVE, STE E140, INDIANAPOLIS, IN 46202-1218
(317) 962-2894
(317) 963-5285
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28156006A
IN
363L00000X
Nurse Practitioner
Primary
71003303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201097010
—
IN
Enumeration date
06/15/2010
Last updated
02/04/2021
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