Individual
STEPHANIE BRYANT-LIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
907 N EAST ST, INDIANAPOLIS, IN 46202-3425
(317) 429-0120
Mailing address
5150 SHELBYVILLE RD, INDIANAPOLIS, IN 46237-2601
(317) 782-1577
(317) 780-5539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
710201147A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200241740A
—
IN
Enumeration date
10/20/2005
Last updated
08/01/2024
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