Individual
MINDY KAY KRSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3229 BROADWAY STE 205, GARY, IN 46409-1038
(219) 806-3000
Mailing address
3229 BROADWAY STE 205, GARY, IN 46409-1038
(219) 806-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71008698A
IN
Other
Enumeration date
02/06/2019
Last updated
11/25/2020
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