Individual
BARBARA WENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28098684A
IN
367500000X
Certified Registered Nurse Anesthetist
305938
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200993670
—
IN
01
—
305938
LICENSE #
OH
Enumeration date
01/22/2008
Last updated
07/01/2024
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