NPI 1952136855

Ingrid Wells

Practitioner Exclusive Provider Organization Indianapolis, IN

Practice location

Address: 6304 Emerald Springs Dr, Indianapolis, IN 46221-4190
Phone: (317) 453-6608

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 300094449 (IN)

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Registry record

NPI: 1952136855
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Sep 2024
Record last updated: 3 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.