Provider Demographics
NPI:1881784510
Name:STIRLING, NANCY S (DO)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:S
Last Name:STIRLING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5864 E BLAND RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:47424-4811
Mailing Address - Country:US
Mailing Address - Phone:812-675-4470
Mailing Address - Fax:812-675-4469
Practice Address - Street 1:629 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-2142
Practice Address - Country:US
Practice Address - Phone:812-675-4470
Practice Address - Fax:812-675-4469
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02000952A207Q00000X
IN02000952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300023843Medicaid
IN000000613060OtherANTHEM
IN000000613060OtherANTHEM
114760CMedicare ID - Type UnspecifiedMEDICARE NUMBER
BS0841165OtherDEA
IN719300DDMedicare PIN
INB29486Medicare UPIN