Individual
MICHELLE JEAN WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4199 GATEWAY BLVD STE 2400, NEWBURGH, IN 47630-7972
(812) 858-4610
Mailing address
4199 GATEWAY BLVD STE 2400, NEWBURGH, IN 47630-7972
(812) 858-4600
(812) 858-4601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28153768A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004877A
IN
Other
Enumeration date
03/13/2014
Last updated
03/30/2026
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