Individual
MRS. ALLISON HEATHER STETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. C.D.E.
Contact information
Practice address
1116 N 16TH ST, LAFAYETTE, IN 47904-2119
(765) 428-5850
(765) 428-5851
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001459A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001209978
ANTHEM
—
01
—
14085423
CAQH
—
05
—
300019321
—
IN
Enumeration date
01/09/2007
Last updated
09/21/2023
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