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Individual

DR. KRISTEN LEE MAUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, GNP-BC, GCNS-BC

Contact information

Practice address
429 OAK BREEZE DR, VALPARAISO, IN 46383-9319
(219) 531-2930
Mailing address
429 OAK BREEZE DR, VALPARAISO, IN 46383-9319
(219) 531-2930

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28080868A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
28080868A
IN

Other

Enumeration date
10/15/2010
Last updated
10/15/2010
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