Individual
KARISSA R KREIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 E MAUMEE ST, ANGOLA, IN 46703-2012
(260) 675-7235
Mailing address
416 E MAUMEE ST, ANGOLA, IN 46703-2015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004572A
IN
Other
Enumeration date
09/03/2013
Last updated
03/07/2024
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