Individual
STEPHANIE L CHENOWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 865-5146
(317) 865-5148
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
28178176A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71011164A
IN
363LN0005X
Critical Care Neonatal Nurse Practitioner
71011164A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300052746
—
IN
Enumeration date
03/18/2021
Last updated
06/13/2023
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