Individual
CRISTINA QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3100 45TH ST STE 4, HIGHLAND, IN 46322-3277
(219) 922-6911
(219) 922-6968
Mailing address
608 W 145TH ST, EAST CHICAGO, IN 46312-3234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28278391A
IN
163W00000X
Registered Nurse
28278391C
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71015941A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104472951
ANTHEM
IN
05
—
300098423
—
IN
Enumeration date
09/23/2024
Last updated
02/05/2025
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