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Pamela M Wisel, NP
Gerontology Nurse Practitioner in Indianapolis, Indiana
NPI 1548954902

Pamela M Wisel is a Gerontology Nurse Practitioner based in Indianapolis, IN and is specialized in Gerontology. Pamela M Wisel practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Pamela M Wisel is 1548954902 and holds a License No. 71013961A (Indiana).

The current practice location address for Pamela M Wisel is 1719 W 10Th St, Indianapolis, IN and can be reached out via phone at 317-631-2005 and via fax at 317-631-0597. You can also correspond with Pamela M Wisel through the mailing address at 250 N SHADELAND AVE, INDIANAPOLIS, IN - 46219-4959 (mailing address contact number: ).

Location: 1719 W 10Th St, Indianapolis, IN, 46219-4959
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Provider Profile Details
NPI Number
1548954902
Provider Name
Pamela M Wisel
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1719 W 10Th St, Indianapolis, IN, 46219-4959
Phone Number
317-631-2005
Fax Number
317-631-0597
Provider Enumeration Date
06/07/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
264430H70 01 IN MEDICARE PTAN
300078048 05 IN
institution
Provider Business Practice Location Address Details
Address
1719 W 10Th St
City
State
Zip
46222-3801
Phone Number
317-631-2005
Fax Number
317-631-0597
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Provider Business Mailing Address Details
Address
250 N Shadeland Ave
City
State
Zip
46219-4959
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
71013961A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Critical Care Medicine
Taxonomy
License No.
71013961A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71013961A (Indiana)
Definition
Definition to come...
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