| Letitia Nicole Quast-wilson, CNM | |
|
938 Mezzanine Dr Ste B, Lafayette, IN 47905-8641 | |
| (765) 448-8000 | |
| Not Available |
| Full Name | Letitia Nicole Quast-wilson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 938 Mezzanine Dr Ste B, Lafayette, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073951869 | NPI | - | NPPES |
| 000000853874 | Other | IN | ANTHEM PROVIDER NUMBER |
| 201205790 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 71004571A (Indiana) | Primary |
| 163W00000X | Registered Nurse | 041353072 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Letitia Nicole Quast-wilson, CNM 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | Letitia Nicole Quast-wilson, CNM 938 Mezzanine Dr Ste B, Lafayette, IN 47905-8641 Ph: (765) 448-8000 |
Rebecca Jean Evans, NP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 964 Mezzanine Dr, Lafayette, IN 47905 Phone: 765-446-8078 | |
Sharon Elaine Smith, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-6302 | |
Ms. Hilda Torres Urista, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Cassandra Dawn Selby, RN, BSN, CNM, ARNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2316 South St, Lafayette, IN 47904 Phone: 765-742-1567 Fax: 765-429-2700 | |
Sherah Albright, RN-BSN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4345 | |
Kara Marie Selby, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-6000 |