Individual
KRISTI BUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815
(260) 483-9081
(260) 483-9196
Mailing address
PO BOX 392552, PITTSBURGH, PA 15251-0100
(512) 575-8028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002657A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71002657A
STATE LICENSE
IN
Enumeration date
10/21/2008
Last updated
06/07/2019
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