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NPI Code Detail

MEDICARE: NATASHA RENEE STANGLEIN PA-C

MEDICARE:   NATASHA RENEE STANGLEIN  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant10002081AIN

General Provider Information

NPI Number : 1750734901
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA RENEE STANGLEIN PA-C
Provider Business Mailing Address
First Line : 8900 KEYSTONE XING STE 540
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-2130
Country : US
Telephone Number : 317-429-0120
Fax Number :
Provider Business Practice Location Address
First Line : 8900 KEYSTONE XING STE 540
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-2130
Country : US
Telephone Number : 317-429-0120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2016
Last Update Date : 07/18/2025

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Directions to “ NATASHA RENEE STANGLEIN PA-C” Practice Location

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