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1639799935
KRISTA MARIE NASTAJ
LA PORTE, IN
NPI
1639799935
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Former Name
KRISTA MARIE VAN BAREN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: IN 28258470A)
Enumeration Date
2020-04-16
Last Update Date
2022-09-18
Business Address
MS. KRISTA MARIE NASTAJ MSN, RN, CPNP-PC
414 LINCOLNWAY
LA PORTE, IN 46350-3350
Phone number: 219-326-5400
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Mailing Address
MS. KRISTA MARIE NASTAJ MSN, RN, CPNP-PC
750 INNES ST NE
GRAND RAPIDS, MI 49503-3516
Phone number: 616-633-6795
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