Individual
MRS. STEPHANIE UFKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
111 SUNNYBROOK CT, SOUTH BEND, IN 46637-3437
(574) 261-2965
Mailing address
111 SUNNYBROOK CT, SOUTH BEND, IN 46637-3437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28219960A
IN
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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