Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN CONWAY FAKES
Active Sole ProprietorKRISTEN CONWAY FAKES is a Gerontological Nurse Practitioner healthcare provider located in RENSSELAER, Indiana. NPI 1578349965 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · RENSSELAER, IN
Registration Details
- NPI Number
- 1578349965
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2023 (2.9853142325771 yrs)
- Last Updated
- Dec 18, 2023
- Licenses
-
28240075A (IN)71014561A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1104 E GRACE STRENSSELAER, IN, 479783211Browse IN providers · Browse ZIP 47978
- Phone
- 2198665141
- Fax
- 2188662070
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.