Stump, Nannette

Stump, Nannette is an individual health care provider with primary practice located at 3700 Washington Ave , Evansville IN 47714-0541. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stump, Nannette can be contacted via phone (812) 485-5612.

Contact Information

Primary practice address
3700 Washington Ave Evansville IN 47714-0541
Phone: (812) 485-5612
Fax: (812) 485-5628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20040400A Indiana

Profile Details

NPI number 1033159553
LBN Legal business name Stump, Nannette
Credentials PHD, HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 8th, 2012 - about 12 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 1033159553 NPPES
Indiana Other 000000283518 ANTHEM PROVIDER #
Indiana MEDICAID 100362820 ANTHEM PROVIDER #
Indiana MEDICAID 100180890L ANTHEM PROVIDER #

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