Individual
LAUREN IXCHEL WENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 963-1300
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN6100308
WA
363LG0600X
Gerontology Nurse Practitioner
71017625A
IN
Other
Enumeration date
07/06/2020
Last updated
03/02/2026
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