Crystal Wiles
Crystal Wiles is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2015, 11 years ago. Practices with Dragonfly Primary Care LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 11
- Licensed in
- IN
- In the registry since
- 2015
Practice location Address checks out
6835 E Southport Rd Ste DIndianapolis, IN 46237-9714
Phone: (317) 759-1843
Fax: (833) 305-2374
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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 · Licence 28178259A (IN) |
|---|
Record details
| NPI number | 1831578970 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 21, 2015 |
| Last updated in NPPES | January 18, 2022 |
| Certification date | January 18, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Dragonfly Primary Care Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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