Most Relevant Information
Provider Data
| NPI Number: | 1003485574 |
| Provider Name: | SAMANTHA LEE STALNAKER NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | F09191538 |
Most Important Dates
| Enumeration Date: | 06/21/2021 |
| Last Updated: | 06/21/2021 |
Provider Practice Location
1919 E 52ND ST
INDIANAPOLIS
IN
462051377
Practice Location Phone/Fax
| Phone: | 3174290120 |
| Fax: | 3178007730 |
Provider Mailing Location
7622 INNISMORE DR
BROWNSBURG
IN
461125608
Provider Mailing Phone/Fax
| Phone: | 2196880571 |
| Fax: |