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NPI Code Detail

MEDICARE: MRS. NICOLETTA MARIE WILHOITE N.P.

MEDICARE:  MRS. NICOLETTA MARIE WILHOITE  N.P.
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 Practitioner71004396AIN

General Provider Information

NPI Number : 1942543368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLETTA MARIE WILHOITE N.P.
Provider Business Mailing Address
First Line : 2800 E 675 S
Second Line :
City : LEBANON
State : IN
Zip : 46052-9781
Country : US
Telephone Number : 765-610-1068
Fax Number :
Provider Business Practice Location Address
First Line : 8870 ZIONSVILLE RD STE B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1003
Country : US
Telephone Number : 317-440-0599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2013
Last Update Date : 06/27/2020

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Directions to “ MRS. NICOLETTA MARIE WILHOITE N.P.” Practice Location

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