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Individual

RENEE ANNE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1107 N STATE ST, GREENFIELD, IN 46140-1207
(173) 967-2180
Mailing address
1503 N MITTHOEFFER RD, INDIANAPOLIS, IN 46229-2425
(317) 934-0768
(317) 469-1658

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28209352A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71009583A
IN

Other

Enumeration date
11/27/2019
Last updated
09/12/2025
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