Edmond, Wendy Phreud

Edmond, Wendy Phreud is an sole proprietor health care provider with primary practice located at 1111 Ronald Reagan Pkwy , Avon IN 46123-7085. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Edmond, Wendy Phreud can be contacted via phone (317) 217-2888.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy Avon IN 46123-7085
Phone: (317) 217-2888
Fax: (317) 962-3916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71013924A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 64577 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9336037 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 73900 Idaho

Profile Details

NPI number 1013458561
LBN Legal business name Edmond, Wendy Phreud
Credentials AC-AGNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2017
Last updated Jan 4th, 2024 - 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 1013458561 NPPES
Florida MEDICAID 023103400
Florida Other OD206
Florida Other 267030310
Florida MEDICAID 300076966

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