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Individual

KRISTE F MOSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2855 N KEYSTONE AVE STE 100, INDIANAPOLIS, IN 46218-2790
(317) 920-5760
(317) 920-5768
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28108950A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200156920
IN
Enumeration date
12/29/2009
Last updated
09/08/2011
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