Individual
ANN M WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2150 GETTLER ST STE 400, DYER, IN 46311-2385
(219) 864-4970
(219) 864-4990
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209022463
IL
363LG0600X
Gerontology Nurse Practitioner
209022463
IL
363LG0600X
Gerontology Nurse Practitioner
277003378
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
71018369A
IN
Other
Enumeration date
12/03/2020
Last updated
07/31/2026
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