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Individual
STEPHANIE LYNN CORMAN
Active
Individual
STEPHANIE LYNN CORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006509A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487680518
GROUP NPI
IN
01
—
677730
MEDICARE GROUP PTAN
IN
Enumeration date
08/02/2016
Last updated
01/19/2024
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