Colyer, Kristine D

Colyer, Kristine D is an individual health care provider with primary practice located at 1391 N Baldwin Avenue , Marion IN 46952-2561. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Colyer, Kristine D can be contacted via phone (765) 660-7900.

Contact Information

Primary practice address
1391 N Baldwin Avenue Marion IN 46952-2561
Phone: (765) 660-7900
Fax: (765) 671-7751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71008143A Indiana

Profile Details

NPI number 1679064190
LBN Legal business name Colyer, Kristine D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2018
Last updated Oct 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679064190 NPPES
Indiana Other 000001191411 ANTHEM
Indiana MEDICAID 300017551 ANTHEM

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