MEDICARE: WOUNDCARE PROS

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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1275323339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOUNDCARE PROS

Provider Business Mailing Address
First Line	:	6620 PARKDALE PL STE I
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-4697
Country	:	US
Telephone Number	:	317-452-5537
Fax Number	:	317-452-5537

Provider Business Practice Location Address
First Line	:	51 W ELLIOT RD STE 102
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85284-1311
Country	:	US
Telephone Number	:	317-452-5537
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MISS BRANDI GARNER
Credential	:
Telephone Number	:	317-452-5537

Provider Enumeration Date	:	05/10/2025
Last Update Date	:	05/15/2025

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Directions to “WOUNDCARE PROS ” Practice Location

Language	Start Address	Practice Location

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