Most Relevant Information
Provider Data
| NPI Number: | 1003004987 |
| Provider Name: | STEPHANIE LOUDERMILK |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 27048415A |
Most Important Dates
| Enumeration Date: | 10/04/2007 |
| Last Updated: | 10/04/2007 |
Provider Practice Location
8060 KNUE RD STE 110
INDIANAPOLIS
IN
462501938
Practice Location Phone/Fax
| Phone: | 3178427435 |
| Fax: |
Provider Mailing Location
8060 KNUE RD STE 110
INDIANAPOLIS
IN
462501938
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |