Individual
MS. KRISTA MARIE NASTAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
414 LINCOLNWAY, LA PORTE, IN 46350-3350
(219) 326-5400
Mailing address
750 INNES ST NE, GRAND RAPIDS, MI 49503-3516
(616) 633-6795
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28258470A
IN
Other
Enumeration date
04/16/2020
Last updated
09/18/2022
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