Krystyne Doty, APN
Nurse Practitioner in Olympia Fields, IL. Individual provider (NPI-1).
NPI number1992258438
StatusActive
Last updated in NPPESMar 16, 2021
Details
- NPI
- 1992258438
- Entity type
- Individual (NPI-1)
- Name
- Krystyne Doty
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2016
- Certification date
- Mar 16, 2021
- Last updated
- Mar 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209013920 | IL | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 209.013920 | IL |
Practice location
3800 W 203rd St Ste 209Olympia Fields, IL 60461
Phone 708-679-2380 · Fax 708-679-2836
Mailing address
1040 Sierra Dr Ste 400Greenwood, IN 46143-7241
Phone 317-528-4800
Other practice locations
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