Individual
KRISTEN DIANE LOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
909 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1443
(765) 463-6262
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28250047A
IN
Other
Enumeration date
11/14/2025
Last updated
12/30/2025
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