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Kristyn Marie Beaver, NP
Family Nurse Practitioner in South Bend, Indiana
NPI 1861150955

Kristyn Marie Beaver is a Family Nurse Practitioner based in Granger, IN and is specialized in Family. Kristyn Marie Beaver practices in South Bend, IN and has the professional credentials of NP. The NPI Number for Kristyn Marie Beaver is 1861150955 and holds a License No. 71014740A (Indiana).

The current practice location address for Kristyn Marie Beaver is 714 N Michigan St, South Bend, IN and can be reached out via phone at 574-647-7477 and via fax at 574-647-3655. You can also correspond with Kristyn Marie Beaver through the mailing address at 3245 HEALTH DR STE 100, GRANGER, IN - 46530-1380 (mailing address contact number: 574-647-2129).

Location: 714 N Michigan St, South Bend, IN, 46530-1380
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Provider Profile Details
NPI Number
1861150955
Provider Name
Kristyn Marie Beaver
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
714 N Michigan St, South Bend, IN, 46530-1380
Phone Number
574-647-7477
Fax Number
574-647-3655
Provider Enumeration Date
12/06/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300086509 05 IN
institution
Provider Business Practice Location Address Details
Address
714 N Michigan St
City
State
Zip
46601-1035
Phone Number
574-647-7477
Fax Number
574-647-3655
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Provider Business Mailing Address Details
Address
714 N Michigan St
City
State
Zip
46601-1035
Phone Number
574-647-7477
Fax Number
574-647-3655
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71014740A (Indiana)
Definition
Definition to come...
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