Individual
KRISTINA CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 MARINERS DR, WARSAW, IN 46582-7145
(574) 267-6778
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
28173624A
IN
363L00000X
Nurse Practitioner
Primary
71012569A
IN
Other
Enumeration date
04/13/2022
Last updated
10/17/2022
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