Healthcare Provider Details

I. General information

NPI: 1861968067
Provider Name (Legal Business Name): KATLYNN M SCHLAEGER BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2018
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 HARCOURT RD
INDIANAPOLIS IN
46260-2036
US

IV. Provider business mailing address

8401 HARCOURT RD
INDIANAPOLIS IN
46260-2036
US

V. Phone/Fax

Practice location:
  • Phone: 317-338-4800
  • Fax:
Mailing address:
  • Phone: 317-338-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number28232091A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71012738A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: