KRYSTAL LEE BAUM

MERRILLVILLE, IN
NPI1346601168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71006179A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28180105A)
363LF0000X Nurse Practitioner, Family
(Licence: IN  F0915531)
Enumeration Date2016-03-08
Last Update Date2020-05-04
Business Address
KRYSTAL LEE BAUM FNP-C
8895 BROADWAY
MERRILLVILLE, IN 46410-7037
Phone number: 219-738-2081
Mailing Address
KRYSTAL LEE BAUM FNP-C
8895 BROADWAY
MERRILLVILLE, IN 46410-7037
Phone number: 219-738-2081