Forney, Shelby

Forney, Shelby is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Forney, Shelby can be contacted via phone (317) 944-2143.

Contact Information

Primary practice address
705 Riley Hospital Dr Indianapolis IN 46202-5109
Phone: (317) 944-2143
Fax: (317) 944-3107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 28236497A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71010070B Indiana

Profile Details

NPI number 1073158986
LBN Legal business name Forney, Shelby
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2019
Last updated Jul 22nd, 2021 - about 3 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 1073158986 NPPES
Indiana MEDICAID 300038711

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