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NPI Code Detail

MEDICARE: RENEE KATSINIS

MEDICARE: RENEE KATSINIS
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 Practitioner71005426AIN

General Provider Information

NPI Number : 1558748277
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE KATSINIS
Provider Business Mailing Address
First Line : 9725 PRAIRIE AVE
Second Line :
City : HIGHLAND
State : IN
Zip : 46322-3616
Country : US
Telephone Number : 219-924-5300
Fax Number :
Provider Business Practice Location Address
First Line : 1946 45TH ST STE C
Second Line :
City : MUNSTER
State : IN
Zip : 46321-3956
Country : US
Telephone Number : 219-440-5334
Fax Number : 219-440-5335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2015
Last Update Date : 11/23/2021

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Directions to “ RENEE KATSINIS ” Practice Location

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