Wendy Beitler, RN
Individual provider Active NPI Case Management Registered Nurse · Fort Wayne, IN
NPI 1154060036 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1154060036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 28168816A (IN)
- Practice address
- 2121 Lake Ave
Fort Wayne, IN 46805-5100 - Phone
- (260) 426-5431
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28168816A | IN | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 28168816A | IN | Yes |
Addresses
Primary practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Mailing address
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone (260) 426-5431
Other providers in Fort Wayne, IN
- Ermin Begovic
- Behavior Analysis Supervisors LLC
- McKenna Behny
- Steven C. Behrendsen
- Allison Sue Beitler
- Rachida Bejja
- Heather N Beko
- Perry Beko
- Sabrina Belcher
- Believe Counseling and Consulting
All providers in Fort Wayne, IN · Case Management Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.