Individual provider · Type 1 NPI
Kathy G. Liddy, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Indianapolis, IN
NPI number
1851335251
Active
Practice location
1481 W 10th St
Indianapolis, IN 46202-2803
Fax (317) 554-0105
Mailing address
8031 N College Ave
Indianapolis, IN 46240-2582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 71000929A (IN) |
| Registered Nurse | 163W00000X | 71000929A (IN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71000929A (IN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1851335251
Kathy G. Liddy, NURSE PRACTITIONER's National Provider Identifier is 1851335251, issued on Jun 15, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 23, 2017.