STACIE L STUTZMAN FNP NPI 1699919373

NPI Information

NPI: 1699919373
Provider Name: STACIE L STUTZMAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1201 MICHIGAN AVE
SUITE 270
LOGANSPORT, IN
ZIP 46947
Phone: (574) 722-4921
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Stacie L Stutzman, FNP is a family nurse practitioner in Logansport, IN with 23 years of experience. Stacie L Stutzman, FNP NPI is 1699919373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1201 MICHIGAN AVE
SUITE 270
LOGANSPORT, IN
ZIP 46947-530
Phone: (574) 722-4921
Fax: (574) 739-0520

The NPI 1699919373 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2009 and was last updated on 7/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71002915A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000636408	OTHER	INDIANA	ANTHEM
2	200971270	MEDICAID	INDIANA
3	940670D1	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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