Individual provider · Type 1 NPI
Kristen Lee Mauk, PhD, GNP-BC, GCNS-BC
Gerontology Nurse Practitioner · Valparaiso, IN
NPI number
1780994392
Active
Practice location
429 Oak Breeze Dr
Valparaiso, IN 46383-9319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 28080868A (IN) |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 28080868A (IN) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Valparaiso
About NPI 1780994392
Kristen Lee Mauk, PhD, GNP-BC, GCNS-BC's National Provider Identifier is 1780994392, issued on Oct 15, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Valparaiso, IN. The record was last updated on Oct 15, 2010.