Individual
AMY DENISE WIMBLEDUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
3306 LINDEL LN, INDIANAPOLIS, IN 46268-2774
(317) 557-0980
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71013091A
IN
363LG0600X
Gerontology Nurse Practitioner
AG08220006
IN
Other
Enumeration date
09/08/2022
Last updated
11/08/2023
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