Krista S Nguyen, NP-C
Nurse Practitioner in Portage, IN. Individual provider (NPI-1).
NPI number1669936498
StatusActive
Last updated in NPPESMar 22, 2021
Details
- NPI
- 1669936498
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Krista S Nguyen
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2019
- Certification date
- Mar 22, 2021
- Last updated
- Mar 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 28197848A | IN | Yes |
Practice location
3691 Willowcreek RdPortage, IN 46368-5076
Phone 219-921-1444
Mailing address
601 Gateway Blvd NChesterton, IN 46304-9658
Phone 219-921-1359
Other practice locations
601 Gateway Blvd N
Chesterton, IN 46304-9658
Chesterton, IN 46304-9658
Phone 219-921-1444
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