Individual
MARCIA ANN STROUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
(765) 448-8227
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71000082A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000351154
ANTHEM PROVIDER NUMBER
IN
05
—
200188130
—
IN
01
—
9397656
PHCS PID NUMBER
IN
Enumeration date
03/22/2006
Last updated
09/17/2014
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