Individual
MRS. BARBARA ANN STITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9217
(574) 239-1451
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9217
(574) 239-1451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704170056
MI
363LF0000X
Family Nurse Practitioner
Primary
71000879A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35-0670330
TAX ID #
IN
Enumeration date
07/08/2006
Last updated
07/29/2016
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