Provider Demographics
NPI:1306360359
Name:MEADOWS, KATHERINE J (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:J
Last Name:MEADOWS
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Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:720 ESKENAZI AVE
Mailing Address - Street 2:FIFTH THIRD BANK BLDG, 5TH FL
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5166
Mailing Address - Country:US
Mailing Address - Phone:317-880-4121
Mailing Address - Fax:317-880-0343
Practice Address - Street 1:2505 N ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-3318
Practice Address - Country:US
Practice Address - Phone:317-554-5200
Practice Address - Fax:317-554-5247
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2021-11-30
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Provider Licenses
StateLicense IDTaxonomies
IN7100733A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner