Individual
KATHRYN V. STENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CS/ANP
Contact information
Practice address
11355 W 97TH LN, SAINT JOHN, IN 46373-9601
(219) 365-5577
(219) 836-7585
Mailing address
1040 SIERRA DRIVE, SUITE 400, GREENWOOD, IN 46143-7241
(317) 865-8540
(317) 865-8317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28050880A
IN
363LF0000X
Family Nurse Practitioner
Primary
71000285A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200304170
—
IN
Enumeration date
06/28/2006
Last updated
07/25/2016
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