Individual
JOSEPHINE MWACHANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9894 E 121ST ST, FISHERS, IN 46037-4154
(317) 621-6060
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(217) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AG02210087
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71011403A
IN
Other
Enumeration date
07/08/2021
Last updated
03/12/2026
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