Healthcare Provider Details

I. General information

NPI: 1235048406
Provider Name (Legal Business Name): WHEATFIELD FAMILY MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10328 TIMBERLAND DR
WHEATFIELD IN
46392-9327
US

IV. Provider business mailing address

10328 TIMBERLAND DR
WHEATFIELD IN
46392-9327
US

V. Phone/Fax

Practice location:
  • Phone: 219-680-7821
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RICHELE WRIGHT
Title or Position: OWNER
Credential:
Phone: 219-680-7821