Individual
KRISTIANNA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1629 MEDICAL ARTS BLVD STE 120, ANDERSON, IN 46011-3454
(765) 298-4220
Mailing address
1629 MEDICAL ARTS BLVD STE 120, ANDERSON, IN 46011-3454
(765) 298-4220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28217182A
IN
363L00000X
Nurse Practitioner
Primary
71010827A
IN
363LF0000X
Family Nurse Practitioner
71010827A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300047386
—
IN
Enumeration date
01/26/2021
Last updated
02/22/2021
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