Individual
MRS. MICAYLA EVE WITHERITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6820 PARKDALE PL STE 212, INDIANAPOLIS, IN 46254-6600
(317) 219-2700
Mailing address
1047 S JEFFERSON ST, BROWNSBURG, IN 46112-1888
(614) 425-2884
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71018178A
IN
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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