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Individual
KRISTA SCHWUCHOW
Active
Individual
KRISTA SCHWUCHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
71005350A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71005350A
IN
Other
Enumeration date
02/12/2010
Last updated
10/21/2022
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