Individual
SAMANTHA LEE STALNAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1919 E 52ND ST, INDIANAPOLIS, IN 46205-1377
(317) 429-0120
(317) 800-7730
Mailing address
7622 INNISMORE DR, BROWNSBURG, IN 46112-5608
(219) 688-0571
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F09191538
IN
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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