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Individual

MRS. COURTNEY LEIGH WADSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-4846
(317) 948-0126
Mailing address
PO BOX 713577, CHICAGO, IL 60677-0403

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
28237991A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71013024A
IN

Other

Enumeration date
09/26/2021
Last updated
02/26/2026
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