| NPI | 1366939308 |
|---|---|
| Former Name | STEPHANIE ANN KREAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008014A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28203164A) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-03-01 |