Provider Demographics
NPI:1043592694
Name:MUHAMMAD, KAWANYA E (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KAWANYA
Middle Name:E
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12400 N MERIDIAN ST STE 160
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4600
Mailing Address - Country:US
Mailing Address - Phone:317-781-3302
Mailing Address - Fax:317-740-1018
Practice Address - Street 1:2840 FORTUNE CIR W
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241-5505
Practice Address - Country:US
Practice Address - Phone:317-781-3302
Practice Address - Fax:317-740-1018
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71003688A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily