Individual provider · Type 1 NPI

Stacey Dirksen

Family Nurse Practitioner · Greenwood, IN

NPI number 1992191738 Active

Practice location

701 E County Line Rd Ste 101
Greenwood, IN 46143-1070

Fax (317) 885-2869

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71005554A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1992191738

Stacey Dirksen's National Provider Identifier is 1992191738, issued on Apr 8, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenwood, IN. The record was last updated on Apr 25, 2024.