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Wonda Fay Elmore
Family Nurse Practitioner in Wabash, Indiana
NPI 1053546556

Wonda Fay Elmore is a Family Nurse Practitioner based in Wabash, IN and is specialized in Family. Wonda Fay Elmore practices in Wabash, IN. The NPI Number for Wonda Fay Elmore is 1053546556 and holds a License No. 71002916B (Indiana).

The current practice location address for Wonda Fay Elmore is 255 N Miami St, Wabash, IN and can be reached out via phone at 574-385-3145 and via fax at 260-563-1902.

Location: 255 N Miami St, Wabash, IN, 46992-2705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053546556
Provider Name
Wonda Fay Elmore
Credential
Provider Entity Type
Individual
Gender
Female
Address
255 N Miami St, Wabash, IN, 46992-2705
Phone Number
574-385-3145
Fax Number
260-563-1902
Provider Enumeration Date
05/27/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300002655 05 IN
000001090820 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
255 N Miami St
City
Wabash
State
Indiana
Zip
46992-2705
Phone Number
574-385-3145
Fax Number
260-563-1902
person
Provider Business Mailing Address Details
Address
255 N Miami St
City
Wabash
State
Indiana
Zip
46992-2705
Phone Number
574-385-3145
Fax Number
260-563-1902
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71002916B (Indiana)
Definition
Definition to come...
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