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General NPI Number Information
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NPI Number | 1205495686
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Entity Type | Individual
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Provider Name | KRISTINA PAGE FNP - C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 300 E MAIN ST STE D
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City | CARMEL
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State | IN
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Zip | 46032-1782
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Country | US
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Telephone | 317-506-8529
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Fax | 800-783-1430
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Provider Business Mailing Address
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Address Line | 300 E MAIN ST STE D
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City | CARMEL
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State | IN
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Zip | 46032-1782
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Country | US
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Telephone | 463-224-2641
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Fax | 800-783-1430
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71009090A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71009090A
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License Number State | IN
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