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NPI Code Detail

MEDICARE: ELIZABETH WINGERTER FNP-BC

MEDICARE: ELIZABETH WINGERTER FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71006739AIN

General Provider Information

NPI Number : 1205379690
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH WINGERTER FNP-BC
Provider Business Mailing Address
First Line : 7000 ALLISONVILLE RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-3860
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7240 E 82ND ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1404
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2016
Last Update Date : 11/26/2024

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