Provider Demographics
NPI:1659053650
Name:ADU-OFFEI, KATE ABENA (PMHNP)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:ABENA
Last Name:ADU-OFFEI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:BOTWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9824 SOARING EAGLE LN
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46055-6192
Mailing Address - Country:US
Mailing Address - Phone:133-668-1072
Mailing Address - Fax:
Practice Address - Street 1:1311 W 96TH ST STE 110
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1172
Practice Address - Country:US
Practice Address - Phone:317-979-0526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71013998A163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health