Individual provider · Type 1 NPI
Simona L. Wildman, NP
Nurse Practitioner · Indianapolis, IN
Practice location
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Fax (317) 880-0448
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice locations
- 550 University Blvd, Indianapolis, IN 46202-5149 · (317) 944-2167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28184591A (IN) |
| Family Nurse Practitioner | 363LF0000X | 71013281A (IN) |
| Nurse Practitioner Primary | 363L00000X | 71013281A (IN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1700509338
Simona L. Wildman, NP's National Provider Identifier is 1700509338, issued on Sep 20, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 22, 2025.