Individual
MERISSA YVONNE STOOPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-0585
(317) 962-2082
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003916A
IN
363A00000X
Physician Assistant
1155930
WA
363A00000X
Physician Assistant
PA-2562
ID
363A00000X
Physician Assistant
PA60902142
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233690175
MEDICARE
IN
Enumeration date
09/02/2017
Last updated
09/07/2023
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