Stephanie Lynne Mcnamara
Nurse Practitioner
1033 N Indiana Ave
Syracuse
, Indiana 46567-1017
Stephanie Lynne Mcnamara
Nurse Practitioner
1033 N Indiana Ave
Syracuse
, Indiana 46567-1017
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Stephanie Lynne Mcnamara
- 1033 N Indiana Ave
- Syracuse, IN
- Zip : 46567-1017
- Phone :
Second Address
- Stephanie Lynne Mcnamara
- 1033 N Indiana Ave
- Syracuse, IN
- Zip : 46567-1017
- Fax : (574) 457-5609
- Phone : (574) 457-5701
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71004177A | IN |
National Provider Identifier
| NPI | 1003168667 |
|---|---|
| Provider Name | Stephanie Lynne Mcnamara |
| First Address | Syracuse, IN 46567-1017 |
| Second Address | Syracuse, IN 46567-1017 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/10/2012 |
| Last Update Date | 15/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201114700 | (05) | 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.