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NPI Code Detail

MEDICARE: MRS. KRISTA RENEE LINSON NP

MEDICARE: MRS. KRISTA RENEE LINSON NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71011693AIN
2363L00000XNurse Practitioner71011693AIN

General Provider Information

NPI Number : 1619639630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTA RENEE LINSON NP
Provider Business Mailing Address
First Line : 7428 SUNSET RIDGE PKWY
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46259-7648
Country : US
Telephone Number : 317-979-4779
Fax Number :
Provider Business Practice Location Address
First Line : 3100 45TH ST STE 3
Second Line :
City : HIGHLAND
State : IN
Zip : 46322-3277
Country : US
Telephone Number : 888-998-7337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2021
Last Update Date : 12/01/2025

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