Wentzel, Mary A
Wentzel, Mary A is an individual health care provider with primary practice located at 2451 Intelliplex Dr Ste 220 , Shelbyville IN 46176-8581. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wentzel, Mary A can be contacted via phone (317) 893-1900.Contact Information
Primary practice address
2451 Intelliplex Dr Ste 220
Shelbyville IN 46176-8581
Phone: (317) 893-1900
Fax: (317) 398-1849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002325A | Indiana |
Profile Details
| NPI number | 1083802987 |
|---|---|
| LBN Legal business name | Wentzel, Mary A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2007 |
| Last updated | Sep 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083802987 | NPPES |
| Indiana | MEDICAID | 200938960 |
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