Individual
JANIS LORRAINE CHRISSIKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, CNM
Contact information
Practice address
3732 NEW VISION DR, FORT WAYNE, IN 46845-1703
(260) 373-1100
(260) 373-1122
Mailing address
1755 COUNTY ROAD 36, AUBURN, IN 46706-9404
(260) 704-7166
(260) 357-0282
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
28120704A
IN
367A00000X
Advanced Practice Midwife
Primary
09000220A
IN
Other
Enumeration date
08/16/2012
Last updated
11/28/2013
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