Individual
MISTY WOOLEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
303 N MAIN ST, MONTICELLO, IN 47960-2134
(574) 297-5527
(574) 583-0153
Mailing address
303 N MAIN ST, MONTICELLO, IN 47960-2134
(574) 297-5527
(574) 583-0153
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004773A
IN
363LF0000X
Family Nurse Practitioner
28168308A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004773A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201217310
—
IN
Enumeration date
01/27/2014
Last updated
09/26/2023
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