Wisel, Pamela M

Wisel, Pamela M is an individual health care provider with primary practice located at 1719 W 10Th St , Indianapolis IN 46222-3801. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Wisel, Pamela M can be contacted via phone (317) 631-2005.

Contact Information

Primary practice address
1719 W 10Th St Indianapolis IN 46222-3801
Phone: (317) 631-2005
Fax: (317) 631-0597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71013961A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 71013961A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71013961A Indiana

Profile Details

NPI number 1548954902
LBN Legal business name Wisel, Pamela M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2023
Last updated Oct 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548954902 NPPES
Indiana Other 264430H70 MEDICARE PTAN
Indiana MEDICAID 300078048 MEDICARE PTAN

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