Dutcher, Wendy Renee

Dutcher, Wendy Renee is an individual health care provider with primary practice located at 400 Teegarden St , La Porte IN 46350-3175. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dutcher, Wendy Renee can be contacted via phone (219) 326-0043.

Contact Information

Primary practice address
400 Teegarden St La Porte IN 46350-3175
Phone: (219) 326-0043
Fax: (219) 326-8909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28160815A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004235A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 28160815A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004235A Indiana

Profile Details

NPI number 1194077644
LBN Legal business name Dutcher, Wendy Renee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2012
Last updated Dec 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194077644 NPPES
Indiana Other 25-9860003 MEDICARE PTAN
Indiana MEDICAID 201149460 MEDICARE PTAN
Indiana Other 151020022 MEDICARE PTAN

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