| Doctor Name: | KAITLIN HAANING |
| NPI Number: | 1033594791 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.N |
| License Number: | 71005598B |
| Business Practice Address: | 8535 N Clearview Dr Suite 400 Mccordsville, IN - 460556240 |
| Business Phone Number: | 3173556930 |
| Business Fax Number: | 3173355030 |
| Mailing Address: | 8535 N Clearview Dr, Suite 400 MCCORDSVILLE |
| State: | IN |
| Postal Code: | 460556240 |
| Phone Number: | 3173556930 |
| Fax Number: | 3173355030 |
| NPI Enumeration Date: | 07/23/2015 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71005598B |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |