Individual
MRS. KELSEY RENAE NAMISNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C, CPN
Contact information
Practice address
100 NAVARRE PL STE 4440, SOUTH BEND, IN 46601-1171
(574) 647-5300
(574) 647-5305
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013008A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300069103
—
IN
Enumeration date
07/15/2022
Last updated
08/29/2025
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