Individual provider · NPI-1

Wauneta Grace Armstrong, RN, NP

Nurse Practitioner, Family · Bloomington, IN

NPI number1861966970
StatusActive
Last updated in NPPESJan 20, 2022

Details

NPI
1861966970
Entity type
Individual (NPI-1)
Name
Mrs. Wauneta Grace Armstrong
Credential
RN, NP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2019
Certification date
Jan 20, 2022
Last updated
Jan 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family71009086AINYes
363LF0000X Nurse Practitioner, Family28147974AIN

Other names

  • Wauneta Grace Tatum (Former Name)

Practice location

2920 S Mcintire Dr Ste 103
Bloomington, IN 47403-4213

Phone 812-353-2870 · Fax 812-353-2881

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

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