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Individual

BRIDGET GERMANA WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-4366
Mailing address
12681 KOSSUTH ST, CARMEL, IN 46032-7178
(317) 289-1414

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71011818A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71011818A
IN

Other

Enumeration date
11/01/2021
Last updated
01/26/2023
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