Individual
HILLARY E RISTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1115 RONALD REAGAN PKWY STE 364, AVON, IN 46123-6914
(317) 217-2700
(317) 217-2707
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71008464A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71008464A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001234354
ANTHEM PTAN
IN
01
—
1102455312
ANTHEM PTAN
IN
05
—
300021551
—
IN
01
—
P02429118
RAILROAD PTAN
IN
01
—
Q00263413
RAILROAD PTAN
IN
Enumeration date
10/12/2018
Last updated
11/05/2024
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