Davitto, Stephanie L.

Davitto, Stephanie L. is an individual health care provider with primary practice located at 124 Sagamore Pkwy West , West Lafayette IN 47906. 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. Davitto, Stephanie L. can be contacted via phone (765) 463-6722.

Contact Information

Primary practice address
124 Sagamore Pkwy West West Lafayette IN 47906
Phone: (765) 463-6722
Fax: (765) 463-0905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004424A Indiana

Profile Details

NPI number 1053757047
LBN Legal business name Davitto, Stephanie L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2013
Last updated Sep 13th, 2024 - 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 1053757047 NPPES
Indiana MEDICAID 201163170

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