Provider Demographics
NPI:1922161389
Name:WABASH CITY SCHOOLS
Entity Type:Organization
Organization Name:WABASH CITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:260-563-4137
Mailing Address - Street 1:1101 COLERAIN ST
Mailing Address - Street 2:
Mailing Address - City:WABASH
Mailing Address - State:IN
Mailing Address - Zip Code:46992-1642
Mailing Address - Country:US
Mailing Address - Phone:260-563-4137
Mailing Address - Fax:260-569-9805
Practice Address - Street 1:1101 COLERAIN ST
Practice Address - Street 2:
Practice Address - City:WABASH
Practice Address - State:IN
Practice Address - Zip Code:46992-1642
Practice Address - Country:US
Practice Address - Phone:260-563-4137
Practice Address - Fax:260-569-9805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28103901A364SS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SS0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistSchoolGroup - Multi-Specialty