Wanda Leatherman Estep in Lafayette - Family Medicine

Wanda Leatherman Estep - NPI 1386632644

Wanda Leatherman Estep is a Family Medicine in Lafayette, Indiana. Wanda Leatherman Estep practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wanda Leatherman Estep is 1386632644. The last update date is 2023-11-03.

Wanda Leatherman Estep's current location address is 3774 Bayley Dr Ste A, Lafayette, Indiana. You can contact this provider via phone number 7658078200 and fax number 7654465155. The mailing address for Wanda Leatherman Estep is 3774 Bayley Dr Ste A, Lafayette, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Wanda Leatherman Estep
Address 3774 Bayley Dr Ste A, Lafayette, Indiana
Phone Number 7658078200
Fax Number 7654465155
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1386632644
Provider Enumeration Date 2005-10-11
Last Updated Date 2023-11-03

Provider Mailing Address Detail

Address 3774 Bayley Dr Ste A
City Lafayette
State Indiana (IN)
Post Code 479058654
Phone Number 7658078200
Fax Number 7654465155

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 01058311A
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
379525 IN ANTHEM PROVIDER NUMBER
200463520 IN --
11508177 IN CAQH

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FAQs about Wanda Leatherman Estep

What is the unique 10-digit identifier code assigned to Wanda Leatherman Estep by the Centers for Medicare & Medicaid Services?

The Wanda Leatherman Estep has been issued the NPI (National Provider Identifier) 1386632644 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Wanda Leatherman Estep?

The Wanda Leatherman Estep is physically situated at 3774 Bayley Dr Ste A, in the city of Lafayette, state of IN, with the postal code 479058654.

What is Wanda Leatherman Estep's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wanda Leatherman Estep is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1386632644 to Wanda Leatherman Estep?

The Wanda Leatherman Estep received its 1386632644 assignment from the Centers for Medicare & Medicaid Services on 2005-10-11.

When was the information regarding Wanda Leatherman Estep, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wanda Leatherman Estep, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-11-03.

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