MEDICARE: HANNAH WISEMAN

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1831038918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH WISEMAN

Provider Business Mailing Address
First Line	:	3290 MANGO DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-0100
Country	:	US
Telephone Number	:	314-365-6647
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 UNIVERSITY BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5149
Country	:	US
Telephone Number	:	317-944-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “ HANNAH WISEMAN ” Practice Location

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