Individual
AMY KORNHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 AMERICAN SQ STE B1-10, INDIANAPOLIS, IN 46282-0020
(317) 522-8044
(765) 650-7803
Mailing address
4151 E 96TH ST, INDIANAPOLIS, IN 46240-1442
(866) 434-3255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009234A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030438
—
IN
Enumeration date
07/30/2019
Last updated
01/26/2026
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