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Individual

AMY WISSINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2011 CHAPA ST, COLUMBUS, IN 47203-4638
(812) 373-0787
Mailing address
2011 CHAPA ST, COLUMBUS, IN 47203-4638

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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