Individual
STEPHANIE JANE FEHRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9894 E 121ST ST, FISHERS, IN 46037-4154
(317) 621-4800
(317) 621-4774
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
28123318A
IN
363L00000X
Nurse Practitioner
Primary
71006249A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201382740
—
IN
01
—
P01678709
RR MEDICARE
IN
Enumeration date
04/28/2016
Last updated
06/17/2021
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