Individual
LEAH MICHELLE STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 524-8130
(574) 524-8138
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015148A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300103272
—
IN
Enumeration date
02/20/2024
Last updated
03/14/2025
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