Individual
VICKI L MRAVCA-WILKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7250 CLEARVISTA DR STE 260, INDIANAPOLIS, IN 46256
(317) 621-1690
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000496
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120320
—
IN
01
—
P01198020
RR MEDICARE PTAN
IN
Enumeration date
05/01/2006
Last updated
06/14/2021
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