IndividualActive
Grant Wysong
NPI 1699652545 · Critical Care Medicine Nurse Practitioner · Indianapolis, IN
Provider details
- NPI number
- 1699652545
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 28222590A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7250 Clearvista Dr Ste 355
Indianapolis, IN 46256-5609
Phone: (317) 621-6262
Approximate (ZIP-level) locationGet directions
Mailing address
6626 E 75th St Ste 500
Indianapolis, IN 46250-2890
Registry dates
- Enumerated
- 2025-08-20
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.