Individual
STEFANI M FILLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 469-6610
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28202661A
IN
363L00000X
Nurse Practitioner
Primary
71007777A
IN
Other
Enumeration date
12/13/2017
Last updated
10/10/2022
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