Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wabash Valley Dermatology and Med Spa Inc

Organization Family Nurse Practitioner · NPI 1619561479

Wabash Valley Dermatology and Med Spa Inc provides Family Nurse Practitioner services 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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