Individual
MRS. ANJANETTE PANNELL WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 N RITTER AVE STE 211, INDIANAPOLIS, IN 46219-3046
(317) 355-6890
(317) 355-6916
Mailing address
1532 S 850 E, GREENFIELD, IN 46140-8148
(317) 462-0950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28097347A
IN
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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