Provider Demographics
NPI:1972580488
Name:WHITMAN, KAREN M (ANP-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9775 CROSSPOINT BLVD STE 118
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-3376
Mailing Address - Country:US
Mailing Address - Phone:317-381-0095
Mailing Address - Fax:317-381-0121
Practice Address - Street 1:9775 CROSSPOINT BLVD STE 118
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-3376
Practice Address - Country:US
Practice Address - Phone:317-381-0095
Practice Address - Fax:317-381-0121
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001887A363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200526980Medicaid
Q48633Medicare UPIN
IN200526980Medicaid