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Stacie L Stutzman, FNP
Family Nurse Practitioner in Logansport, Indiana
NPI 1699919373

Stacie L Stutzman is a Family Nurse Practitioner based in Logansport, IN and is specialized in Family. Stacie L Stutzman practices in Logansport, IN and has the professional credentials of FNP. The NPI Number for Stacie L Stutzman is 1699919373 and holds a License No. 71002915A (Indiana).

The current practice location address for Stacie L Stutzman is 1201 Michigan Ave, Logansport, IN and can be reached out via phone at 574-722-4921 and via fax at 574-739-0520.

Location: 1201 Michigan Ave, Logansport, IN, 46947-1530
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Provider Profile Details
NPI Number
1699919373
Provider Name
Stacie L Stutzman
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1201 Michigan Ave, Logansport, IN, 46947-1530
Phone Number
574-722-4921
Fax Number
574-739-0520
Provider Enumeration Date
04/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200971270 05 IN
000000636408 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
1201 Michigan Ave
City
State
Zip
46947-1530
Phone Number
574-722-4921
Fax Number
574-739-0520
person
Provider Business Mailing Address Details
Address
1201 Michigan Ave
City
State
Zip
46947-1530
Phone Number
574-722-4921
Fax Number
574-739-0520
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71002915A (Indiana)
Definition
Definition to come...
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