Healthcare Provider Details
I. General information
NPI: 1609282060
Provider Name (Legal Business Name): KARIN ARMSTRONG CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/07/2014
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2400 17TH ST
COLUMBUS IN
47201-5351
US
IV. Provider business mailing address
PO BOX 775383
CHICAGO IL
60677-5383
US
V. Phone/Fax
- Phone: 812-376-5974
- Fax: 812-375-3203
- Phone: 812-376-5315
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 1-119311 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | 1-119311 |
| License Number State | AL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | 1-119311 |
| License Number State | AL |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | 71008751A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: