Individual provider · Type 1 NPI

Stacie Wenck

Nurse Practitioner · Indianapolis, IN

NPI number 1548417322 Active

Practice location

8040 Clearvista Pkwy Ste 570
Indianapolis, IN 46256-4673

Fax (317) 621-2580

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71001523A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1548417322

Stacie Wenck's National Provider Identifier is 1548417322, issued on Aug 22, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 22, 2008.