Provider Demographics
NPI:1124168380
Name:NANNET, KAY K (RNC, NP)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:K
Last Name:NANNET
Suffix:
Gender:F
Credentials:RNC, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 LAFAYETTE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-1032
Mailing Address - Country:US
Mailing Address - Phone:765-362-1212
Mailing Address - Fax:765-361-0210
Practice Address - Street 1:1601 LAFAYETTE RD
Practice Address - Street 2:STE 100
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-1032
Practice Address - Country:US
Practice Address - Phone:765-362-1212
Practice Address - Fax:765-361-0210
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000833A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner