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Brenda Lee Costello-wells, CNSAPRN
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Indianapolis, Indiana
NPI 1447258314

Brenda Lee Costello-wells is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist based in Indianapolis, IN and is specialized in Psychiatric/Mental Health, Child & Adolescent. Brenda Lee Costello-wells practices in Indianapolis, IN and has the professional credentials of CNSAPRN. The NPI Number for Brenda Lee Costello-wells is 1447258314 and holds a License No. 70000059A (Indiana).

The current practice location address for Brenda Lee Costello-wells is 1500 N Ritter Ave, Indianapolis, IN and can be reached out via phone at 317-355-2560 and via fax at 317-355-2418. You can also correspond with Brenda Lee Costello-wells through the mailing address at 6626 E 75TH STREET, INDIANAPOLIS, IN - 46250-2890 (mailing address contact number: 317-621-7561).

Location: 1500 N Ritter Ave, Indianapolis, IN, 46250-2890
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Provider Profile Details
NPI Number
1447258314
Provider Name
Brenda Lee Costello-wells
Credential
CNSAPRN
Provider Entity Type
Individual
Gender
Female
Address
1500 N Ritter Ave, Indianapolis, IN, 46250-2890
Phone Number
317-355-2560
Fax Number
317-355-2418
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100270530 05 IN
200223310 05 IN
institution
Provider Business Practice Location Address Details
Address
1500 N Ritter Ave
City
State
Zip
46219-3027
Phone Number
317-355-2560
Fax Number
317-355-2418
person
Provider Business Mailing Address Details
Address
1500 N Ritter Ave
City
State
Zip
46219-3027
Phone Number
317-355-2560
Fax Number
317-355-2418
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
70000059A (Indiana)
Definition
Definition to come...
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