Medler, Krisie L
Medler, Krisie L is an individual health care provider with primary practice located at 350 W Columbia St Ste 420 , Evansville IN 47710-1782. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Medler, Krisie L can be contacted via phone (812) 422-3254.Contact Information
Primary practice address
350 W Columbia St Ste 420
Evansville IN 47710-1782
Phone: (812) 422-3254
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 71008053 | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 71008053A | Indiana |
Profile Details
| NPI number | 1437648755 |
|---|---|
| LBN Legal business name | Medler, Krisie L |
| Credentials | AGACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2018 |
| Last updated | Jun 10th, 2024 - about 2 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 | 1437648755 | NPPES |
| Indiana | Other | 71008053 | INDIANA STATE LICENSE |
| Indiana | MEDICAID | 300016191 | INDIANA STATE LICENSE |
| Indiana | Other | 000001186463 | INDIANA STATE LICENSE |
| Indiana | MEDICAID | 7100560290 | INDIANA STATE LICENSE |
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