Individual
LYN MARIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1506 OSOLO ROAD, STE A, ELKHART, IN 46514-4122
(574) 295-1131
(574) 524-8211
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001040A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300035897
—
IN
Enumeration date
09/22/2005
Last updated
03/03/2026
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