Individual
MRS. COURTNEY MAUREEN WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8075 N SHADELAND AVE STE 330, INDIANAPOLIS, IN 46250-2694
(317) 355-7220
(317) 355-9672
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-1886
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71011424A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q00369292
RAILROAD MEDICARE
IN
Enumeration date
08/12/2021
Last updated
11/21/2022
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