Individual
STEPHANIE A DIDYK-HORINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7440 WOODLAND DR, INDIANAPOLIS, IN 46278-1720
(317) 580-6309
Mailing address
7440 WOODLAND DR, INDIANAPOLIS, IN 46278-1720
(317) 962-0500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71006660A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201405470
—
IN
Enumeration date
10/31/2016
Last updated
10/03/2025
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