Amber Marie Wisehart, FNP
Individual provider Active NPI Family Nurse Practitioner · Castleton, IN
NPI 1992293187 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1992293187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28204696A (IN)
- Practice address
- 8101 Clearvista Pkwy Ste 185
Castleton, IN 46256-4691 - Phone
- (317) 621-9000
- NPI assigned
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28204696A | IN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28204696A | IN | Yes |
Addresses
Primary practice location
8101 Clearvista Pkwy Ste 185
Castleton, IN 46256-4691
Mailing address
8101 Clearvista Pkwy Ste 185
Castleton, IN 46256-4691
Phone (317) 621-9000
Other providers in Castleton, IN
All providers in Castleton, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.