Individual
BAILEY ANN WULLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8051 S EMERSON AVE, INDIANAPOLIS, IN 46237-8600
(317) 865-2955
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004222A
IN
Other
Enumeration date
11/14/2023
Last updated
10/14/2025
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