Individual
LINDA KAY STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 W MAIN ST, CAMDEN, IN 46917-9997
(574) 686-2022
(574) 686-2024
Mailing address
132 W MAIN ST, CAMDEN, IN 46917-9997
(574) 686-2022
(574) 686-2024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002400
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000636086
ANTHEM
IN
05
—
200915190
—
IN
Enumeration date
06/11/2007
Last updated
10/03/2013
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