Individual provider · Type 1 NPI
Kimberly Sue Stull, NP
Critical Care Pediatric Nurse Practitioner · Indianapolis, IN
NPI number
1649613159
Active
Practice location
705 N Riley Ave
Indianapolis, IN 46201-2923
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 28137802A (IN) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1649613159
Kimberly Sue Stull, NP's National Provider Identifier is 1649613159, issued on Apr 15, 2013. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 18, 2020.