Individual
MRS. MARTHA MAY WATTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
715 W CARMEL DR STE 101, CARMEL, IN 46032-5881
(317) 361-4481
(317) 361-4482
Mailing address
8407 TANAGER LN, INDIANAPOLIS, IN 46256-1729
(317) 213-3443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28215651A
IN
363L00000X
Nurse Practitioner
Primary
71011336A
IN
Other
Enumeration date
01/29/2021
Last updated
06/01/2023
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