NPI 1033774690

Deedee Wilfong

Practitioner Licensed Practical Nurse Marion, IN

Practice location

Address: 708 E Bradford St, Marion, IN 46952-2959
Phone: (765) 618-8798

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 27067591A (IN)

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Registry record

NPI: 1033774690
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2019
Record last updated: 8 May 2019

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.