Stucky, Valerie L

Stucky, Valerie L is an individual health care provider with primary practice located at 10021 Dupont Circle Ct , Fort Wayne IN 46825-1604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Stucky, Valerie L can be contacted via phone (260) 426-8117.

Contact Information

Primary practice address
10021 Dupont Circle Ct Fort Wayne IN 46825-1604
Phone: (260) 426-8117
Fax: (260) 420-0817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000459A Indiana

Profile Details

NPI number 1750373601
LBN Legal business name Stucky, Valerie L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Feb 28th, 2008 - about 16 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 1750373601 NPPES
Ohio MEDICAID 2474620

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