Individual
KRISTINA CRODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHMNP
Contact information
Practice address
6720 PARKDALE PL, INDIANAPOLIS, IN 46254-4668
(317) 744-9200
Mailing address
5840 RALSTON AVE, INDIANAPOLIS, IN 46220-2730
(317) 374-7764
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71015614A
IN
Other
Enumeration date
07/25/2024
Last updated
09/18/2024
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