Individual
STEPHANIE ROSE DEWOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 331-3400
(812) 332-7265
Mailing address
8635 S ROCKPORT RD, BLOOMINGTON, IN 47403-7701
(309) 712-1681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28269941A
IN
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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