Individual
MS. PENELOPE WADLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1547 OHIO AVE, ANDERSON, IN 46016-1917
(765) 641-0225
Mailing address
1547 OHIO AVENUE, ANDERSON, IN 46016-1917
(765) 641-0255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28062230A
IN
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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