Reagan, Stephanie A

Reagan, Stephanie A is an individual health care provider with primary practice located at 124 E Main St , Muncie IN 47305-2839. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Reagan, Stephanie A can be contacted via phone (765) 587-7311.

Contact Information

Primary practice address
124 E Main St Muncie IN 47305-2839
Phone: (765) 587-7311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001099A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001099A Indiana

Profile Details

NPI number 1083664643
LBN Legal business name Reagan, Stephanie A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 16th, 2022 - about 2 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 1083664643 NPPES
Other 708472000 UNITED BEHAVIORAL HEALTH
Other 000000626434 UNITED BEHAVIORAL HEALTH
Other 000000362853 UNITED BEHAVIORAL HEALTH
Other 000000668347 UNITED BEHAVIORAL HEALTH
MEDICAID 200508380 UNITED BEHAVIORAL HEALTH

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