Individual
STEPHANIE R DOWNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 270-6400
(317) 274-0241
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004150A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201121140
—
IN
Enumeration date
09/18/2012
Last updated
06/20/2014
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