Individual
ANDREA LYNN STALBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3800 ST MARY DRIVE, VALPARAISO, IN 46383
(219) 286-3707
Mailing address
2153 S 250 W, NORTH JUDSON, IN 46366-8646
(574) 249-8229
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28287274A
IN
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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