Individual
WENDY J WALMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
420 N SAWYER RD, KENDALLVILLE, IN 46755-2572
(260) 347-8030
(260) 347-8035
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000553A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200267490
—
IN
01
—
P00782353
MEDICARE RR
IN
Enumeration date
02/06/2006
Last updated
11/15/2022
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