Brenda Lee Costello-Wells in Indianapolis - Psychiatric/mental Health, Child & Adolescent
Brenda Lee Costello-Wells - NPI 1447258314
Brenda Lee Costello-Wells is a Psychiatric/mental Health, Child & Adolescent in Indianapolis, Indiana. Brenda Lee Costello-Wells practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Brenda Lee Costello-Wells is 1447258314. The last update date is 2023-11-27.
Brenda Lee Costello-Wells's current location address is 6626 E 75th Street, Indianapolis, Indiana. You can contact this provider via phone number 3176217561 and fax number 3173556096. The mailing address for Brenda Lee Costello-Wells is 6626 E 75th Street, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Lee Costello-Wells |
|---|---|
| Address | 6626 E 75th Street, Indianapolis, Indiana |
| Phone Number | 3176217561 |
| Fax Number | 3173556096 |
| Sole Proprietor | N |
| Credentials | CNS APRN |
NPI Number Detail
| NPI Number | 1447258314 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 6626 E 75th Street |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462502890 |
| Phone Number | 3176217561 |
| Fax Number | 3173556096 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Child & Adolescent |
|---|---|
| Taxonomy | 364Sp0807X |
| Licence No | 70000059A |
|
Definition: A psychiatric clinical nurse specialist expert in caring for infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100270530 | IN | -- | |
| 200223310 | IN | -- |
Post Comment/ Review Below
What is the Brenda Lee Costello-Wells's unique identification number?
The Brenda Lee Costello-Wells has been assigned the NPI (National Provider Identifier) Number 1447258314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Brenda Lee Costello-Wells located?
The Brenda Lee Costello-Wells is located at 6626 E 75Th Street, Indianapolis, IN 462502890.
What is Brenda Lee Costello-Wells's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brenda Lee Costello-Wells is Psychiatric/mental Health, Child & Adolescent, and the taxonomy code that classifies this field of practice is 364Sp0807X.
On what date did the Brenda Lee Costello-Wells receive the assignment of its 1447258314 from the Centers for Medicare & Medicaid Services?
The Brenda Lee Costello-Wells was issued its 1447258314 by the Centers for Medicare & Medicaid Services on 2005-07-13.
As of what date were the details pertaining to Brenda Lee Costello-Wells last refreshed?
The information related to the Brenda Lee Costello-Wells, including its address, specialty, and other relevant details, was last updated on 2023-11-27.