Individual
EWELINA MARIA STASZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
919 MAIN ST STE 101, DYER, IN 46311-3717
(219) 836-7531
(219) 836-7593
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.033631
IL
363LF0000X
Family Nurse Practitioner
Primary
71017568A
IN
Other
Enumeration date
11/10/2025
Last updated
02/03/2026
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