Individual
CARA E. STANSIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 701-1224
Mailing address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 701-1224
(888) 803-6843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003357A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201025600
—
IN
Enumeration date
08/25/2010
Last updated
12/05/2023
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