IndividualActive
Katherine Nowakoski, PA-C
NPI 1104517275 · Surgical Physician Assistant · Indianapolis, IN
Provider details
- NPI number
- 1104517275
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10004053A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7250 Clearvista Dr
Indianapolis, IN 46256-4692
Phone: (317) 621-5673
Approximate (ZIP-level) locationGet directions
Mailing address
6626 E 75th St Ste 500
Indianapolis, IN 46250-2890
Registry dates
- Enumerated
- 2023-05-18
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.