Davis, Kristine Elizabeth
Davis, Kristine Elizabeth is an sole proprietor health care provider with primary practice located at 2222 Rieth Blvd Ste 100, Goshen IN 46526-5869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Kristine Elizabeth can be contacted via phone (574) 875-1200.Contact Information
Primary practice address
2222 Rieth Blvd Ste 100
Goshen IN 46526-5869
Phone: (574) 875-1200
Fax: (574) 875-0362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71005614A | Indiana |
Profile Details
| NPI number | 1275916264 |
|---|---|
| LBN Legal business name | Davis, Kristine Elizabeth |
| Credentials | FNP-BC, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2015 |
| Last updated | Apr 28th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275916264 | NPPES |
| Indiana | MEDICAID | 201313630 |
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