Individual
MRS. KRISTIN HAMMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS/NP
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2388
Mailing address
16108 COG HILL DR, NORTHVILLE, MI 48168-8624
(734) 404-5306
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
71001910A
IN
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
70000168A
IN
Other
Enumeration date
08/11/2006
Last updated
02/24/2009
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