STEPHANIE ANN CLOUSE

FORT WAYNE, IN
NPI1003314246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007750A)
Enumeration Date2018-01-23
Last Update Date2020-09-23
Business Address
STEPHANIE ANN CLOUSE NP-C
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804-4159
Phone number: 260-435-7612
Mailing Address
STEPHANIE ANN CLOUSE NP-C
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514