MARJORIE DESTEFANO (NPI# 1831504364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831504364 |
| Entity Type | Individual |
| Full Name | MARJORIE DESTEFANO |
| Credential | MSN, NP-C |
| Practice Address |
420 Neuman Way Carmel IN 46032-1937 |
| Practice Telephone | 3175196558 |
| Mailing Telephone | 3175196558 |
| Mailing Fax Number | 8772154462 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2017-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71004948A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
420 NEUMAN WAY |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528246691 | Elizabeth Mary Kavanagh | Nurse Practitioner | 457 Fair St, Carmel, NY 10512 | 2008-01-31 |
| 1366565004 | Julia A Fonte | Nurse Practitioner | 529 E 116th St, Carmel, IN 46032-4506 | 2007-04-09 |
| 1235101783 | Lori J Beck | Nurse Practitioner | 11645 Illinois St, Carmel, IN 46032-3320 | 2006-02-07 |
| 1487279980 | Carli Danielle Chandler | Nurse Practitioner | 11700 N Meridian St, Carmel, IN 46032-4656 | 2020-06-10 |
| 1619336096 | Dina M Hermina | Nurse Practitioner | 11911 N Meridian St Ste 110, Carmel, IN 46032-6919 | 2016-02-15 |
| 1639429103 | Heather D Foxworthy | Nurse Practitioner | 13450 N Meridian St, Suite 352, Carmel, IN 46032-1546 | 2012-09-12 |
| 1770851610 | Leo Shannon O'connor | Nurse Practitioner | 11455 N Meridian St, 200, Carmel, IN 46032-1624 | 2011-12-07 |
| 1114224557 | Loanne M. Faulstich-fox | Nurse Practitioner | 13430 N Meridian St Ste 173, Carmel, IN 46032-1449 | 2011-02-22 |
| 1275859001 | Megan N Cloncs | Nurse Practitioner | 11911 N Meridian Street, Suite 110, Carmel, IN 46032-6919 | 2010-04-19 |
| 1972580488 | Karen M Bunnell | Nurse Practitioner | 12188a North Meridian St, Suite 375, Carmel, IN 46032-4578 | 2005-12-27 |
| Find all providers in CARMEL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.