Childers-Page, Shannon L

Childers-Page, Shannon L is an individual health care provider with primary practice located at 1701 N Senate Blvd # A5231 , Indianapolis IN 46202-1239. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Childers-Page, Shannon L can be contacted via phone (317) 962-1429.

Contact Information

Primary practice address
1701 N Senate Blvd # A5231 Indianapolis IN 46202-1239
Phone: (317) 962-1429
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71003354A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 28123065A Indiana

Profile Details

NPI number 1669788204
LBN Legal business name Childers-Page, Shannon L
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2010
Last updated Apr 29th, 2019 - about 6 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 1669788204 NPPES
Indiana MEDICAID 200996380

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