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NPI Code Detail

MEDICARE: WENDY TERRELL NP

MEDICARE: WENDY TERRELL NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71006604AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205380946
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY TERRELL NP
Provider Business Mailing Address
First Line : 250 W 96TH ST STE 520
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number : 317-415-7921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2016
Last Update Date : 03/17/2026

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