Individual
WENDY J GUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1345 UNITY PLACE, SUITE 145A, LAFAYETTE, IN 47905-5771
(765) 446-5040
(765) 446-5041
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28118752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200141440
—
IN
Enumeration date
05/14/2009
Last updated
03/29/2012
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