Individual
STACY LEE WESTMORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 855-2869
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
28216339A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
28216339A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300041781
—
IN
Enumeration date
05/05/2020
Last updated
01/13/2022
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