STACIA L. WHITAKER

INDIANAPOLIS, IN
NPI1861853301
Former NameSTACIA L. WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: IN  71006146A)
Additional Taxonomies363LN0000X Nurse Practitioner, Neonatal
(Licence: IN  71006146)
363LN0000X Nurse Practitioner, Neonatal
(Licence: IN  28171919)
Enumeration Date2016-03-11
Last Update Date2025-10-02
Business Address
STACIA L. WHITAKER NP
705 RILEY HOSPITAL DR RR 208
INDIANAPOLIS, IN 46202-5109
Phone number: 317-274-4715
Mailing Address
STACIA L. WHITAKER NP
PO BOX 637764
CINCINNATI, OH 45263-7764
Phone number: 317-880-3939