Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wabash Valley Dermatology and Med Spa Inc

Organization Family Nurse Practitioner · NPI 1619561479

Wabash Valley Dermatology and Med Spa Inc is a Family Nurse Practitioner in Terre Haute, Indiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4949 E Poplar Dr
Terre Haute, IN 47803-2434
Phone: (217) 712-9512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1619561479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindsay Wilson — President · (217) 712-9512
NPI enumeratedFebruary 23, 2021
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021
Mailing address18017 N Weaver Rd, Marshall, IL 62441-4071

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