Individual
STEPHANIE POLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
701 SCHOOL ST, CULVER, IN 46511-1026
(574) 842-3391
Mailing address
13265 6C RD, PLYMOUTH, IN 46563-7777
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
28244803A
IN
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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