Individual
KRISTIN A TETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3834 S EMERSON AVE, BUILDING C, SUITE 100, INDIANAPOLIS, IN 46203
(317) 782-1577
(317) 780-5539
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0044
(888) 700-0187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28078633
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71000094A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200189700A
—
IN
01
—
500005033
RAILROAD MEDICARE
IN
Enumeration date
10/31/2005
Last updated
02/25/2020
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