Individual provider · Type 1 NPI
Tana Willibey
Gerontology Nurse Practitioner · Indianapolis, IN
NPI number
1851068969
Active
Practice location
2231 Valley Point Pl Apt 1536
Indianapolis, IN 46217-2256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 28252242A (IN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1851068969
Tana Willibey's National Provider Identifier is 1851068969, issued on Aug 26, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 26, 2021.