MEDICARE: NINA G KUHLMAN NP

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
1	363LG0600X	Gerontology Nurse Practitioner	71007821A	IN
2	363LA2200X	Adult Health Nurse Practitioner	28176829A	IN
3	363LA2200X	Adult Health Nurse Practitioner	71007821A	IN
4	363LA2200X	Adult Health Nurse Practitioner	71007821B	IN

General Provider Information

NPI Number	:	1710488580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA G KUHLMAN NP

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 WILLOW ST
Second Line	:
City	:	NASHVILLE
State	:	IN
Zip	:	47448-7604
Country	:	US
Telephone Number	:	812-988-2231
Fax Number	:	812-988-2232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	09/06/2024

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