Individual
KRISTOPHER RENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 738-2100
(219) 681-6732
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006295A
IN
363LF0000X
Family Nurse Practitioner
71006295A
IN
Other
Enumeration date
04/22/2016
Last updated
07/25/2025
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