Healthcare Provider Details

I. General information

NPI: 1780390690
Provider Name (Legal Business Name): GUARDIAN PEDIATRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2023
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11590 N MERIDIAN ST STE 170
CARMEL IN
46032-6963
US

IV. Provider business mailing address

11590 N MERIDIAN ST STE 170
CARMEL IN
46032-6963
US

V. Phone/Fax

Practice location:
  • Phone: 317-848-3040
  • Fax: 317-848-5380
Mailing address:
  • Phone: 317-848-3040
  • Fax: 317-848-5380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WENDY ELIZABETH SCHULTE
Title or Position: OWNER
Credential: MD
Phone: 317-848-3040