person
Stacey Dirksen
Family Nurse Practitioner in Greenwood, Indiana
NPI 1992191738

Stacey Dirksen is a Family Nurse Practitioner based in Greenwood, IN and is specialized in Family. Stacey Dirksen practices in Greenwood, IN. The NPI Number for Stacey Dirksen is 1992191738 and holds a License No. 71005554A (Indiana).

The current practice location address for Stacey Dirksen is 701 E County Line Rd Ste 101, Greenwood, IN and can be reached out via phone at 317-885-2860 and via fax at 317-885-2869.

Location: 701 E County Line Rd Ste 101, Greenwood, IN, 46143-1070
person
Provider Profile Details
NPI Number
1992191738
Provider Name
Stacey Dirksen
Credential
Provider Entity Type
Individual
Gender
Female
Address
701 E County Line Rd Ste 101, Greenwood, IN, 46143-1070
Phone Number
317-885-2860
Fax Number
317-885-2869
Provider Enumeration Date
04/08/2015
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201298260 05 IN
institution
Provider Business Practice Location Address Details
Address
701 E County Line Rd Ste 101
City
State
Zip
46143-1070
Phone Number
317-885-2860
Fax Number
317-885-2869
person
Provider Business Mailing Address Details
Address
701 E County Line Rd Ste 101
City
State
Zip
46143-1070
Phone Number
317-885-2860
Fax Number
317-885-2869
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71005554A (Indiana)
Definition
Definition to come...
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