Individual
MRS. KRISTA FILIPPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
333 E MISHAWAKA AVE, MISHAWAKA, IN 46545-6600
(574) 314-5950
Mailing address
333 E MISHAWAKA AVE, MISHAWAKA, IN 46545-6600
(574) 314-5950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022043025
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626317
—
IN
Enumeration date
11/21/2022
Last updated
03/05/2025
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