Katelyn Elizabeth Agdanowski, RN
Individual provider Active NPI Pediatric Registered Nurse · Indianapolis, IN
NPI 1003613845 · NPPES record last updated Feb 28, 2025
Key facts
- NPI
- 1003613845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 28275218A (IN)
- Practice address
- 4913 N Capitol Ave
Indianapolis, IN 46208-3402 - Phone
- (614) 439-2603
- NPI assigned
- Feb 28, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28275218A | IN | MD | Pediatric Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 28275218A | IN | Yes |
Addresses
Primary practice location
4913 N Capitol Ave
Indianapolis, IN 46208-3402
Mailing address
4913 N Capitol Ave
Indianapolis, IN 46208-3402
Phone (614) 439-2603
Other providers in Indianapolis, IN
- Rajiv Agarwal
- Shilpa Agarwal
- Anuj K Agarwala
- Rachael K Agbonhese
- Ethel Flordelain Agbulos
- Age Well Home Care Services LLC
- Jonathan Todd Agee
- Stacy Agee
- Ageless Center LLC
- Ageless Love Home Care LLC
All providers in Indianapolis, IN · Pediatric Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.