BRENDA LEE COSTELLO-WELLS CNS APRN NPI 1447258314

NPI Information

NPI: 1447258314
Provider Name: BRENDA LEE COSTELLO-WELLS, CNS APRN
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

PECOS Registration: Yes

Address:
1500 N RITTER AVE
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 355-2560
Get Directions

Brenda Lee Costello-wells, CNS APRN is a psychiatric/mental health and child and adolescent clinical nurse specialist in Indianapolis, IN. Brenda Lee Costello-wells, CNS APRN NPI is 1447258314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 N RITTER AVE
INDIANAPOLIS, IN
ZIP 46219-027
Phone: (317) 355-2560
Fax: (317) 355-2418

The NPI 1447258314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	70000059A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100270530	MEDICAID	INDIANA
2	200223310	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »