Individual
KRISTINA L DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7120 CLEARVISTA DR STE 2000, INDIANAPOLIS, IN 46256-1621
(317) 621-7120
(317) 621-7119
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
28174504A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005997A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201339570
—
IN
01
—
P01678704
RR MEDICARE
IN
Enumeration date
11/23/2015
Last updated
11/27/2023
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