Individual
STACIE WENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8040 CLEARVISTA PKWY STE 570, INDIANAPOLIS, IN 46256-4673
(317) 621-2520
(317) 621-2580
Mailing address
8040 CLEARVISTA PKWY STE 570, INDIANAPOLIS, IN 46256-4673
(317) 621-2520
(317) 621-2580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001523A
IN
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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