Individual
WANDA LEATHERMAN ESTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3774 BAYLEY DR STE A, LAFAYETTE, IN 47905-8654
(765) 807-8200
(765) 446-5155
Mailing address
3743 LANDMARK DRIVE, STE 200, LAFAYETTE, IN 47905-6633
(765) 448-4511
(765) 447-8375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058311A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379525
ANTHEM PROVIDER NUMBER
IN
01
—
11508177
CAQH
IN
05
—
200463520
—
IN
Enumeration date
10/11/2005
Last updated
11/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us