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NPI Code Detail

MEDICARE: KATIE J GIESTING LNP

MEDICARE: KATIE J GIESTING LNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner71002462AIN
2363L00000XNurse Practitioner71002462AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528253663
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE J GIESTING LNP
Provider Business Mailing Address
First Line : 8402 HARCOURT RD STE 830
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2096
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8402 HARCOURT RD STE 830
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2096
Country : US
Telephone Number : 317-338-8857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2007
Last Update Date : 06/23/2022

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