Provider Demographics
NPI:1942543368
Name:WILHOITE, NICOLETTA MARIE (NP)
Entity Type:Individual
Prefix:MRS
First Name:NICOLETTA
Middle Name:MARIE
Last Name:WILHOITE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 E 675 S
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IN
Mailing Address - Zip Code:46052-9781
Mailing Address - Country:US
Mailing Address - Phone:765-610-1068
Mailing Address - Fax:
Practice Address - Street 1:8870 ZIONSVILLE RD STE B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1003
Practice Address - Country:US
Practice Address - Phone:317-440-0599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71004396A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily