NPI 1003435322

Talisha T Wilson

Practitioner Personal Care Attendant Indianapolis, IN

Practice location

Address: 9165 Otis Ave STE 110, Indianapolis, IN 46216-2307
Phone: (317) 657-9116

Registered specialties (2)

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Driver

Other Service Providers Taxonomy 172A00000X Licence 1550684500 (IN)

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Registry record

NPI: 1003435322
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2020
Record last updated: 15 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.