Engel, Stacey Michelle

Engel, Stacey Michelle is an individual health care provider with primary practice located at 821 N State Road 135 , Greenwood IN 46142-1314. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Engel, Stacey Michelle can be contacted via phone (317) 560-4300.

Contact Information

Primary practice address
821 N State Road 135 Greenwood IN 46142-1314
Phone: (317) 560-4300
Fax: (317) 530-9084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 28180686A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 28180686A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 28180686A Indiana

Profile Details

NPI number 1871900498
LBN Legal business name Engel, Stacey Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2014
Last updated Mar 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871900498 NPPES
Indiana Other P01678705 RR PTAN
Indiana MEDICAID 201253850 RR PTAN

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