Individual
MS. KATHERINE VERONICA CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNS, FNP-BC
Contact information
Practice address
299 E PENDLETON AVE # 547, LAPEL, IN 46051-5546
(765) 534-3636
(765) 534-3638
Mailing address
299 E PENDLETON AVE # 547, LAPEL, IN 46051-5546
(765) 534-3636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002634A
IN
363LP2300X
Primary Care Nurse Practitioner
71002634A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000888757
ANTHEM
IN
05
—
100171430
—
IN
01
—
15D2075563
CLIA
IN
01
—
1780766972
NPI
IN
01
—
IN1868002
MEDICARE
IN
Enumeration date
10/19/2006
Last updated
03/18/2024
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