Provider Demographics
NPI:1902116247
Name:BINGEL, STEPHANIE CARRIE (MPAS)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:CARRIE
Last Name:BINGEL
Suffix:
Gender:F
Credentials:MPAS
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Other - First Name:
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Mailing Address - Street 1:6626 E 75TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2890
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8177 CLEARVISTA PKWY STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1662
Practice Address - Country:US
Practice Address - Phone:317-621-7800
Practice Address - Fax:317-621-7805
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2022-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN10001184A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant