Individual
KAREN S STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28124757A
IN
367500000X
Certified Registered Nurse Anesthetist
286223
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207949
ANTHEM BCBS
—
05
—
200380690
—
IN
05
—
2267747
—
OH
01
—
430065856
RAILROAD MEDICARE
—
05
—
74006255
—
KY
Enumeration date
12/15/2005
Last updated
03/04/2021
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