Individual
PAMELA M WISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1719 W 10TH ST, INDIANAPOLIS, IN 46222-3801
(317) 631-2005
(317) 631-0597
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71013961A
IN
363LC0200X
Critical Care Medicine Nurse Practitioner
71013961A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71013961A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078048
—
IN
Enumeration date
06/07/2023
Last updated
05/12/2025
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