Individual provider · Type 1 NPI

Cristina Elizabet Hermosillo, PA-C

Medical Physician Assistant · Kokomo, IN

NPI number 1104607738 Active

Practice location

3118 S Lafountain St
Kokomo, IN 46902-3710

Call (765) 864-4160 Map

Fax (765) 400-4467

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10004249A (IN)

Medical Physician Assistant: Definition to come...

25 other providers at this address

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About NPI 1104607738

Cristina Elizabet Hermosillo, PA-C's National Provider Identifier is 1104607738, issued on Oct 10, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kokomo, IN. The record was last updated on Jan 25, 2024.