Individual
STEPHANIE XIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
13100 E 136TH ST STE 2500, FISHERS, IN 46037-9813
(317) 944-6467
(317) 222-2103
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002860A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104296823
ANTHEM PTAN
IN
Enumeration date
07/08/2024
Last updated
04/02/2025
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