Individual
STACY KRAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
808 N 3RD ST, GOSHEN, IN 46528-7100
(574) 534-0088
(574) 971-8434
Mailing address
808 N 3RD ST, GOSHEN, IN 46528-7100
(574) 534-0088
(574) 971-8434
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28100132A
IN
Other
Enumeration date
08/23/2011
Last updated
12/31/2020
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