Individual
KRISTIN DENISE HANNEBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGACNP-BC
Contact information
Practice address
3699 EPWORTH RD, NEWBURGH, IN 47630-8909
(812) 471-1200
Mailing address
3699 EPWORTH RD, NEWBURGH, IN 47630-8909
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
28210263A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71014460A
IN
Other
Enumeration date
09/21/2023
Last updated
10/26/2023
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