| Kristine Elizabeth Davis, FNP-BC, FNP-C | |
|
2222 Rieth Blvd, Ste 100, Goshen, IN 46526-5869 | |
| (574) 875-1200 | |
| (574) 875-0362 |
| Full Name | Kristine Elizabeth Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2222 Rieth Blvd, Goshen, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275916264 | NPI | - | NPPES |
| 201313630 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71005614A (Indiana) | Primary |
| Entity Name | Visiting Nurse and Hospice Home Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083751002 PECOS PAC ID: 4082703608 Enrollment ID: O20090722000760 |
| Entity Name | Community Living Resources LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780065425 PECOS PAC ID: 8022310036 Enrollment ID: O20160107002878 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Elizabeth Davis, FNP-BC, FNP-C 3245 Health Dr, Granger, IN 46530-1380 Ph: (574) 647-1840 | Kristine Elizabeth Davis, FNP-BC, FNP-C 2222 Rieth Blvd, Ste 100, Goshen, IN 46526-5869 Ph: (574) 875-1200 |
Ingrid K. Bowser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-2888 |
Nickie Ralston, MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 S Main St, Ste A, Goshen, IN 46526 Phone: 574-533-7476 Fax: 574-533-7145 |
Mrs. Kaitlyn E Delgado, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 Middlebury St, Goshen, IN 46528 Phone: 574-534-3300 |
Mrs. Arin Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1811 Charlton Ct, Goshen, IN 46526 Phone: 574-534-0050 |
Maria Jo King, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-1000 |
Michelle Joy Miller Good, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 N 3rd St, Goshen, IN 46528 Phone: 573-534-0088 Fax: 573-971-8434 |
Katie M Schramm, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2222 Rieth Blvd Ste 100, Goshen, IN 46526 Phone: 574-875-1200 Fax: 574-875-0362 |