Marcia Ann Stroup
Nurse Practitioner - Pediatrics
253 Sagamore Pkwy W
West Lafayette
, Indiana 47906-1501
Marcia Ann Stroup
Nurse Practitioner - Pediatrics
253 Sagamore Pkwy W
West Lafayette
, Indiana 47906-1501
(765) 448-8000
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Marcia Ann Stroup
- Po Box 5545
- Lafayette, IN
- Zip : 47903-5545
- Phone : (765) 448-8000
Second Address
- Marcia Ann Stroup
- 253 Sagamore Pkwy W
- West Lafayette, IN
- Zip : 47906-1501
- Fax : (765) 448-8227
- Phone : (765) 448-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 71000082A | IN |
National Provider Identifier
| NPI | 1013976588 |
|---|---|
| Provider Name | Marcia Ann Stroup |
| First Address | Lafayette, IN 47903-5545 |
| Second Address | West Lafayette, IN 47906-1501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2006 |
| Last Update Date | 17/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0000000351154 | ANTHEM PROVIDER NUMBER (01) | IN |
| 200188130 | (05) | IN |
| 9397656 | PHCS PID NUMBER (01) | IN |
| S53892 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.