Individual
HAILEIGH V KROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2173
(765) 742-1567
(765) 429-2700
Mailing address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2138
(765) 742-1567
(765) 429-2700
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
28242913A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71011230A
IN
Other
Enumeration date
09/04/2020
Last updated
07/25/2024
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