Individual
CHANTEL S WILLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 PILGRIM BLVD, HARTFORD CITY, IN 47348-1382
(765) 348-5776
(765) 348-8335
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000712A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001074962
ANTHEM
IN
05
—
200236100
—
IN
Enumeration date
07/28/2006
Last updated
03/02/2021
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