Individual
DR. ABBEY KREAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-DNP
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 331-3400
(812) 332-7265
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704337869
MI
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
71013670A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540851
MEDICARE PTAN
IN
Enumeration date
12/08/2022
Last updated
06/08/2023
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