Doctor Name: | MRS. THOMASINA MARIE WRANGHAM |
NPI Number: | 1013340066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, PMHNP-BC |
License Number: | 71004621A |
Business Practice Address: | 2210 Jackson St Anderson, IN - 460164363 |
Business Phone Number: | 7656833118 |
Business Fax Number: | |
Mailing Address: | 8840 Commerce Park Pl Ste E, INDIANAPOLIS |
State: | IN |
Postal Code: | 462683129 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/14/2013 |
NPI Last Update Date: | 10/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 71004621A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |