Individual
KRISTEN A ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
621 MEMORIAL DR STE 100, SOUTH BEND, IN 46601-1063
(574) 647-1100
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704400373
MI
363LF0000X
Family Nurse Practitioner
Primary
71009754A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316587165
—
MI
05
—
300036163
—
IN
Enumeration date
01/09/2020
Last updated
10/29/2024
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