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Kristen Conway Fakes
Gerontology Nurse Practitioner in Rensselaer, Indiana
NPI 1578349965

Kristen Conway Fakes is a Gerontology Nurse Practitioner based in Detroit, IN and is specialized in Gerontology. Kristen Conway Fakes practices in Rensselaer, IN. The NPI Number for Kristen Conway Fakes is 1578349965 and holds a License No. 28240075A (Indiana).

The current practice location address for Kristen Conway Fakes is 1104 E Grace St, Rensselaer, IN and can be reached out via phone at 219-866-5141 and via fax at 218-866-2070.

Location: 1104 E Grace St, Rensselaer, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578349965
Provider Name
Kristen Conway Fakes
Credential
Provider Entity Type
Individual
Gender
Female
Address
1104 E Grace St, Rensselaer, IN, 48278-1076
Phone Number
219-866-5141
Fax Number
218-866-2070
Provider Enumeration Date
09/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1104 E Grace St
City
Rensselaer
State
Indiana
Zip
47978-3211
Phone Number
219-866-5141
Fax Number
218-866-2070
person
Provider Business Mailing Address Details
Address
1104 E Grace St
City
Rensselaer
State
Indiana
Zip
47978-3211
Phone Number
219-866-5141
Fax Number
218-866-2070
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71014561A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
28240075A (Indiana)
Definition
Definition to come...
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