WILDEST KINDNESS NPI 1578336095

NPI Information

  • NPI: 1578336095
  • Provider Name: WILDEST KINDNESS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 58 W 58TH ST
    INDIANAPOLIS, IN
    ZIP 46208
  • Phone: (317) 750-4882

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NPI Details

WILDEST KINDNESS is a family nurse practitioner in Indianapolis, IN. WILDEST KINDNESS NPI is 1578336095. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

58 W 58TH ST
INDIANAPOLIS, IN
ZIP 46208-511
Phone: (317) 750-4882

The provider's authorized official is Melinda Blake .
The authorized official title is Owner and has the following contact phone number (317) 750-4882.

The enumeration date for this NPI number is 11/6/2023 and was last updated on 11/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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