Healthcare Provider Details

I. General information

NPI: 1093982944
Provider Name (Legal Business Name): KAREN S HUMMEL MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2008
Last Update Date: 05/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W MUSKEGON DR
GREENFIELD IN
46140-3069
US

IV. Provider business mailing address

124 W MUSKEGON DR
GREENFIELD IN
46140-3069
US

V. Phone/Fax

Practice location:
  • Phone: 317-468-4357
  • Fax: 317-468-4580
Mailing address:
  • Phone: 317-468-4357
  • Fax: 317-468-4580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71000188A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: