Individual
KRISTINE D COLYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1391 N BALDWIN AVENUE, MARION, IN 46952-2561
(765) 660-7900
(765) 671-7751
Mailing address
330 N WABASH, STE G20, MARION, IN 46952-2600
(765) 660-7600
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008143A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001191411
ANTHEM
IN
05
—
300017551
—
IN
Enumeration date
05/21/2018
Last updated
10/20/2020
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