Individual
MIA STOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7667 E PRIVATE ROAD 375 N, POLAND, IN 47868-6843
(812) 531-3115
Mailing address
7667 E PRIVATE ROAD 375 N, POLAND, IN 47868-6843
(812) 531-3115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28204833A
IN
363L00000X
Nurse Practitioner
Primary
F10181513
IN
Other
Enumeration date
11/05/2018
Last updated
09/16/2022
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