Individual
NICOLE STAVITZ STAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(888) 580-1060
Mailing address
6204 ROBBINS RD, PORTAGE, IN 46368-4564
(215) 910-6545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71018341A
IN
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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