| Doctor Name: | KATHLEEN A NIX |
| NPI Number: | 1043465859 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 71000357 |
| Business Practice Address: | 1000 S Court St Crown Point, IN - 463074855 |
| Business Phone Number: | 2197576272 |
| Business Fax Number: | 2196816954 |
| Mailing Address: | 1000 S Court St, CROWN POINT |
| State: | IN |
| Postal Code: | 463074855 |
| Phone Number: | 2197576272 |
| Fax Number: | 2196816954 |
| NPI Enumeration Date: | 11/20/2008 |
| NPI Last Update Date: | 11/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 71000357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |