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STACIE STAUFFER
Nurse Practitioner
NPI: 1477055804IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
28183206A(IN)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
71007874A(IN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845 - Phone
- (260) 266-5230
Quick Facts
- NPI
- 1477055804
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 9
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