Healthcare Provider Details

I. General information

NPI: 1205342235
Provider Name (Legal Business Name): OUTPATIENT INTEGRATED STRATEGIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2017
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12315 HANCOCK ST STE 24
CARMEL IN
46032-5885
US

IV. Provider business mailing address

12315 HANCOCK ST STE 24
CARMEL IN
46032-5885
US

V. Phone/Fax

Practice location:
  • Phone: 317-965-8641
  • Fax:
Mailing address:
  • Phone: 317-965-8641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIE E KONNERSMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 317-965-8641