Individual
AMY WISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28247231A
IN
364SL0600X
Long-Term Care Clinical Nurse Specialist
28247231A
IN
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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