Individual
STEPHANIE DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4506 1ST AVE, EVANSVILLE, IN 47710-3624
(812) 428-6161
Mailing address
PO BOX 631767, CINCINNATI, OH 45263-1767
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013447A
IN
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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