Individual
STEFANI ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1313 W CHICAGO AVE, EAST CHICAGO, IN 46312-3316
(219) 398-9685
(219) 398-9695
Mailing address
1313 W CHICAGO AVE, EAST CHICAGO, IN 46312-3316
(219) 398-9685
(219) 398-9695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.369779
IL
163W00000X
Registered Nurse
28247136A
IN
363L00000X
Nurse Practitioner
710008458A
IN
363LW0102X
Women's Health Nurse Practitioner
209.009790
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
710008458
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021372
—
IN
Enumeration date
10/08/2012
Last updated
01/15/2019
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