Katz, Audrey Anna

Katz, Audrey Anna is an individual health care provider with primary practice located at 1215 Lawn Ave Ste 100, Elkhart IN 46514-2450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Katz, Audrey Anna can be contacted via phone (574) 293-2893.

Contact Information

Primary practice address
1215 Lawn Ave Ste 100 Elkhart IN 46514-2450
Phone: (574) 293-2893
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 09000377A Indiana

Profile Details

NPI number 1366012536
LBN Legal business name Katz, Audrey Anna
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2021
Last updated Oct 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366012536 NPPES
Indiana MEDICAID 300053006

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