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NPI Code Detail

MEDICARE: DIANA LYNN WITT RN

MEDICARE:   DIANA LYNN WITT  RN
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
1163WP2201XAmbulatory Care Registered Nurse28196419AIN

General Provider Information

NPI Number : 1447106059
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA LYNN WITT RN
Provider Business Mailing Address
First Line : 101 N WHITCOMB AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46224-8728
Country : US
Telephone Number : 317-931-4300
Fax Number : 317-931-4330
Provider Business Practice Location Address
First Line : 2700 DR MARTIN LUTHER KING JR ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-5019
Country : US
Telephone Number : 317-931-4300
Fax Number : 317-931-4330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ DIANA LYNN WITT RN” Practice Location

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