Healthcare Provider Details

I. General information

NPI: 1750293296
Provider Name (Legal Business Name): AUTMN D STETLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2195 ALLENTOWN RD
LIMA OH
45805-1705
US

IV. Provider business mailing address

10722 WABASH RD
ROCKFORD OH
45882-9631
US

V. Phone/Fax

Practice location:
  • Phone: 419-227-2245
  • Fax:
Mailing address:
  • Phone: 419-953-0575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number463666
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: