Individual
ELIZABETH P WADLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3830 W 96TH ST, INDIANAPOLIS, IN 46268-2907
(317) 854-0604
Mailing address
3830 W 96TH ST, INDIANAPOLIS, IN 46268-2907
(317) 854-0604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28226471
IN
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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