Individual provider · Type 1 NPI
Krystal Kay Lavine
Family Nurse Practitioner · Bourbon, IN
NPI number
1821586207
Active
Practice location
114 N Washington St
Bourbon, IN 46504-1623
Fax (574) 335-0755
Mailing address
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71008330A (IN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Bourbon
About NPI 1821586207
Krystal Kay Lavine's National Provider Identifier is 1821586207, issued on May 1, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bourbon, IN. The record was last updated on Oct 3, 2024.