Individual
STEPHANIE LYNNE MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1033 N INDIANA AVE, SYRACUSE, IN 46567-1017
(574) 457-5701
(574) 457-5609
Mailing address
1033 N INDIANA AVE, SYRACUSE, IN 46567-1017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201114700
—
IN
Enumeration date
10/08/2012
Last updated
01/15/2021
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