Stephens, Andrea L

Stephens, Andrea L is an individual health care provider with primary practice located at 1600 Willow St Ste A , Vincennes IN 47591-4264. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stephens, Andrea L can be contacted via phone (812) 291-2993.

Contact Information

Primary practice address
1600 Willow St Ste A Vincennes IN 47591-4264
Phone: (812) 291-2993
Fax: (812) 316-1117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28140893A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002451A Indiana

Profile Details

NPI number 1588854632
LBN Legal business name Stephens, Andrea L
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jun 7th, 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 1588854632 NPPES
Indiana Other 000000531692 ANTHEM PIN
Indiana MEDICAID 200871380 ANTHEM PIN

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