Provider Demographics
NPI:1942835582
Name:GETCHELL, VIRGINIA WRIGLEY (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:WRIGLEY
Last Name:GETCHELL
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:CLARE
Other - Last Name:WRIGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CNP
Mailing Address - Street 1:3245 HEALTH DR STE 100
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-1380
Mailing Address - Country:US
Mailing Address - Phone:574-647-2129
Mailing Address - Fax:
Practice Address - Street 1:500 ARCADE AVE STE 210
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-2485
Practice Address - Country:US
Practice Address - Phone:574-389-5656
Practice Address - Fax:574-523-7891
Is Sole Proprietor?:No
Enumeration Date:2020-03-04
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71009783A363L00000X, 363LA2100X
IL209023377363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300036017Medicaid
IN236040335OtherMEDICARE PTAN