Individual
MRS. STEFANIE IRENE SHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2500 N DETROIT ST, LAGRANGE, IN 46761-1158
(260) 463-2133
(260) 463-3775
Mailing address
PO BOX 236, LAGRANGE, IN 46761-0236
(260) 463-2133
(260) 463-3775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003285A
IN
Other
Enumeration date
07/16/2010
Last updated
02/27/2019
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