| Doctor Name: | KRISTA CLEVER |
| NPI Number: | 1225316227 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, APN |
| License Number: | 639149 |
| Business Practice Address: | 1015 Michigan Ave Logansport, IN - 469471526 |
| Business Phone Number: | 5747225151 |
| Business Fax Number: | 5747391414 |
| Mailing Address: | 800 Fulton St, LOGANSPORT |
| State: | IN |
| Postal Code: | 469471577 |
| Phone Number: | 5747225151 |
| Fax Number: | 5747391414 |
| NPI Enumeration Date: | 07/26/2011 |
| NPI Last Update Date: | 04/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 639149 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |