IndividualActive
Michael Criswell, CNS
NPI 1679977128 · Medical-Surgical Clinical Nurse Specialist · Lafayette, IN
Provider details
- NPI number
- 1679977128
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNS
- Sex
- Male
- Sole proprietor
- No
- License
- 28074750A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1500 Salem St
Lafayette, IN 47904-2164
Phone: (765) 448-8000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5545
Lafayette, IN 47903-5545
Registry dates
- Enumerated
- 2014-10-13
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.