Wesner, Tara

Wesner, Tara is an individual health care provider with primary practice located at 2340 E 10Th St , Indianapolis IN 46201-2008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wesner, Tara can be contacted via phone (317) 957-2200.

Contact Information

Primary practice address
2340 E 10Th St Indianapolis IN 46201-2008
Phone: (317) 957-2200
Fax: (317) 957-2220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71005076A Indiana

Profile Details

NPI number 1821491671
LBN Legal business name Wesner, Tara
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2014
Last updated Jul 18th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821491671 NPPES
Indiana MEDICAID 201313010

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