Individual
MICHELLE A WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1263 HOSPITAL DR NW, STE 250, CORYDON, IN 47112-2172
(812) 738-8136
(812) 738-3155
Mailing address
PO BOX 38, CORYDON, IN 47112-0038
(812) 738-4251
(812) 738-3155
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001209
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200361348
—
IN
Enumeration date
06/16/2005
Last updated
07/18/2022
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