IndividualActive
Kimberly Stull, NP
NPI 1649613159 · Critical Care Pediatric Nurse Practitioner · Indianapolis, IN
Provider details
- NPI number
- 1649613159
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 28137802A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
705 N Riley Ave
Indianapolis, IN 46201-2923
Phone: (317) 944-0233
Approximate (ZIP-level) locationGet directions
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Registry dates
- Enumerated
- 2013-04-15
- Last updated
- 2020-11-18
- Certified
- 2020-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.