Neal, Katie M

Neal, Katie M is an individual health care provider with primary practice located at 3716 Dartmouth Pl , West Lafayette IN 47906-8752. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Neal, Katie M can be contacted via phone (317) 750-8702.

Contact Information

Primary practice address
3716 Dartmouth Pl West Lafayette IN 47906-8752
Phone: (317) 750-8702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71007561A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28218849A Indiana

Profile Details

NPI number 1649795766
LBN Legal business name Neal, Katie M
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2017
Last updated Jun 7th, 2024 - about 2 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 1649795766 NPPES
Other 14140712 CAQH
Other 000001130557 CAQH
MEDICAID 300008702 CAQH

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