Individual
MRS. STEPHANIE L. DAVITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
124 SAGAMORE PKWY WEST, WEST LAFAYETTE, IN 47906
(765) 463-6722
(765) 463-0905
Mailing address
124 SAGAMORE PKWY WEST, WEST LAFAYETTE, IN 47906
(765) 463-6722
(765) 463-0905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004424A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201163170
—
IN
Enumeration date
05/16/2013
Last updated
09/13/2024
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