Individual
KRISTA ERIN NESTLEHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N 26TH ST STE 202, LAFAYETTE, IN 47904-2856
(765) 607-2001
Mailing address
415 N 26TH ST STE 202, LAFAYETTE, IN 47904-2856
(765) 607-2001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28232467A
IN
363LP2300X
Primary Care Nurse Practitioner
28232467A
IN
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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