Provider Demographics
NPI:1306274105
Name:STICHTER, REBECCA SUE (NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:SUE
Last Name:STICHTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 48
Mailing Address - Street 2:
Mailing Address - City:NEW PARIS
Mailing Address - State:IN
Mailing Address - Zip Code:46553-0048
Mailing Address - Country:US
Mailing Address - Phone:574-831-5440
Mailing Address - Fax:574-831-6922
Practice Address - Street 1:68370 CLINTON ST STE A
Practice Address - Street 2:
Practice Address - City:NEW PARIS
Practice Address - State:IN
Practice Address - Zip Code:46553-9235
Practice Address - Country:US
Practice Address - Phone:574-831-5440
Practice Address - Fax:574-831-6922
Is Sole Proprietor?:No
Enumeration Date:2013-10-15
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71004558A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner