Individual
LAURA STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
905 EASTERN BLVD, SUITE B, CLARKSVILLE, IN 47129-1961
(812) 284-2273
(812) 284-2279
Mailing address
905 EASTERN BLVD, SUITE B, CLARKSVILLE, IN 47129-1961
(812) 284-2273
(812) 284-2279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004891
IN
Other
Enumeration date
05/14/2014
Last updated
06/23/2014
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