Individual
KATHERINE JEAN WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1107 S TILLOTSON AVE, MUNCIE, IN 47304-4517
(765) 717-5399
Mailing address
1107 S TILLOTSON AVE, MUNCIE, IN 47304-4517
(765) 717-5399
(855) 792-0451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013030A
IN
Other
Enumeration date
09/14/2022
Last updated
02/11/2025
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