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Organization
VISITING WOUND CARE LLC
Active
Organization
VISITING WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DAVIS (CEO/OWNER)
(317) 827-2987
Entity
Organization
Contact information
Practice address
3203 DOGWOOD LN, CARMEL, IN 46032-9629
(317) 827-2987
(317) 219-0879
Mailing address
PO BOX 523882, C/O THE MAILBOX #10649, MIAMI, FL 33152-3882
(317) 827-2987
(317) 219-0879
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/17/2021
Last updated
08/07/2024
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