Doctor Name: | FRANCES DENEAN STAPLETON |
NPI Number: | 1023370103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 28161104A |
Business Practice Address: | 303 S Nappanee St Elkhart, IN - 465142066 |
Business Phone Number: | 5742963200 |
Business Fax Number: | |
Mailing Address: | 303 S Nappanee St, ELKHART |
State: | IN |
Postal Code: | 465142066 |
Phone Number: | 5742963200 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2012 |
NPI Last Update Date: | 08/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28161104A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |