Kristen Conway Fakes
NPI #1578349965 in Rensselaer, Indiana
Provider Information
- NPI Number
- 1578349965
- Entity Type
- Individual
- Name
- Kristen Conway Fakes
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Sep 1, 2023
- Last Updated
- Dec 18, 2023
Practice Location
- Address
- 1104 E GRACE ST
- City
- Rensselaer
- State
- Indiana
- ZIP Code
- 47978-3211
- Phone
- (219) 866-5141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Gerontology — Gerontology |
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