NPI 1265716146
Stacey Phipps
Practice location
- Address
- 1950 Ridgedale Rd, South Bend, IN 46614-2243
- Phone
- (574) 291-6722
- Mailing address
- 2612 Southridge Dr, South Bend, IN 46614-1536
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1265716146
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Oct 2011
- Record last updated
- 10 Oct 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.