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General NPI Number Information
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NPI Number | 1437648755
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Entity Type | Individual
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Provider Name | KRISIE L MEDLER AGACNP
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Gender | Female
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 600 MARY ST
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City | EVANSVILLE
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State | IN
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Zip | 47710-1658
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Country | US
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Telephone | 812-422-3254
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Fax | 812-426-6388
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Provider Business Mailing Address
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Address Line | 350 W COLUMBIA ST STE 420
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City | EVANSVILLE
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State | IN
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Zip | 47710-1782
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Country | US
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Telephone | 812-422-3254
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Fax | 812-426-6388
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4021981
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71008053A
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License Number State | IN
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