Individual
MRS. KRISTA S NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3691 WILLOWCREEK RD, PORTAGE, IN 46368-5076
(219) 921-1444
Mailing address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1359
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28197848A
IN
Other
Enumeration date
01/25/2019
Last updated
03/22/2021
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