Individual
WENDI CIESIELSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
707 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601-1071
(574) 647-8470
(574) 647-8475
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-6592
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3017298
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71015974A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300099744
—
IN
Enumeration date
02/04/2022
Last updated
05/30/2025
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