Individual
STEPHANIE N KORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13100 E 136TH ST STE 2000, FISHERS, IN 46037-9440
(317) 944-9400
(317) 678-3222
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004569A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104578790
ANTHEM PTAN
IN
05
—
300098202
—
IN
Enumeration date
11/27/2023
Last updated
12/12/2024
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