Individual provider · Type 1 NPI

Grant Wysong

Critical Care Medicine Nurse Practitioner · Indianapolis, IN

NPI number 1699652545 Active

Practice location

7250 Clearvista Dr Ste 355
Indianapolis, IN 46256-5609

Call (317) 621-6262 Map

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner 363LC0200X28222590A (IN)
Critical Care Medicine Nurse Practitioner Primary 363LC0200X71016996A (IN)

Critical Care Medicine Nurse Practitioner: Definition to come...

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About NPI 1699652545

Grant Wysong's National Provider Identifier is 1699652545, issued on Aug 20, 2025. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 2, 2025.