Individual
GINA M. CRUSOR-PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9008 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2501
(219) 513-8923
(219) 513-8941
Mailing address
17112 CALIFORNIA AVE, HAZEL CREST, IL 60429-1118
(708) 253-8205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71014056A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132000
—
IN
Enumeration date
05/22/2006
Last updated
06/28/2023
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