Individual
MICHELLE MOSS WILBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-7666
(317) 880-0448
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28096836A
IN
363L00000X
Nurse Practitioner
Primary
71016363A
IN
Other
Enumeration date
05/18/2017
Last updated
01/06/2026
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