Peter Michael Willie, BA
Technician, Attendant Care Provider in Camby, IN. Individual provider (NPI-1).
NPI number1013607076
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1013607076
- Entity type
- Individual (NPI-1)
- Name
- Mr. Peter Michael Willie
- Credential
- BA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2023
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | IN | Yes |
Practice location
7412 Alexis LnCamby, IN 46113-5524
Phone 317-740-4181
Mailing address
7412 Alexis LnCamby, IN 46113-5524
Phone 317-740-4181
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.