Individual
MRS. STEPHANIE M VANDERHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM MSN
Contact information
Practice address
510 SMALTZ WAY, AUBURN, IN 46706-0612
(260) 927-0035
(260) 927-0036
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 927-0035
(260) 927-0036
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000099A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200421450
—
IN
Enumeration date
10/03/2006
Last updated
01/26/2024
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