Individual
KATHERINE WININGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2240 E 53RD ST # B-1, INDIANAPOLIS, IN 46220-3479
(317) 933-7047
Mailing address
PO BOX 746720, ATLANTA, GA 30374-6720
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28246360A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013817A
IN
Other
Enumeration date
04/12/2023
Last updated
05/15/2023
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