Healthcare Provider Details

I. General information

NPI: 1790534550
Provider Name (Legal Business Name): MARIA KARINA PADILLA STRASZHEIM FNP-C, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 REID PKWY
RICHMOND IN
47374-1157
US

IV. Provider business mailing address

1100 REID PARKWAY MEDICAL STAFF SERVICES
RICHMOND IN
47374
US

V. Phone/Fax

Practice location:
  • Phone: 765-983-3000
  • Fax: 765-983-3038
Mailing address:
  • Phone: 765-983-3127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71015404A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: