Organization
MOSAIC HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LAY-WOLF FNP-BC (OWNER)
(765) 480-8213
Entity
Organization
Contact information
Practice address
2607 S 700 W, RUSSIAVILLE, IN 46979-9415
(765) 480-8213
Mailing address
2607 S 700 W, RUSSIAVILLE, IN 46979-9415
(765) 860-9857
(877) 821-5463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
09/03/2025
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