Individual
MRS. CHRISTINA MARIE OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321-3530
(195) 950-0432
(219) 237-2894
Mailing address
4440 W GUADALUPE CIR, EAST CHICAGO, IN 46312-3159
(219) 688-4279
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
71004110A
IN
Other
Enumeration date
11/26/2012
Last updated
09/17/2019
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