Individual
CHELSEA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 806-8285
(317) 579-2130
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 806-8285
(317) 579-2130
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000679A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022799
—
IN
Enumeration date
04/18/2013
Last updated
02/03/2021
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