Provider Demographics
NPI:1316244528
Name:DARNELL, KRISTY (RN,MSN, FNP-BC, CNRN)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:DARNELL
Suffix:
Gender:F
Credentials:RN,MSN, FNP-BC, CNRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-9344
Mailing Address - Country:US
Mailing Address - Phone:219-738-4930
Mailing Address - Fax:219-738-4931
Practice Address - Street 1:200 E 89TH AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7318
Practice Address - Country:US
Practice Address - Phone:218-738-4930
Practice Address - Fax:219-738-4931
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28085181A163WN0800X
IN71003518A163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience