Individual
MRS. KATIA STEFANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1190 W MAIN ST, VEVAY, IN 47043-3639
(812) 427-4038
(812) 427-3246
Mailing address
144 GARRITT ST, HANOVER, IN 47243-9677
(812) 701-2751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007481
KY
Other
Enumeration date
09/12/2012
Last updated
09/13/2013
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