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Individual

AMANDA STOLARZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
13963 MORSE ST, CEDAR LAKE, IN 46303-9639
(219) 374-5555
(219) 374-6669
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(193) 927-0842
(219) 703-6854

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28222790A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012330A
IN

Other

Enumeration date
02/23/2022
Last updated
08/09/2022
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