Shannon, Wendy Lorraine

Shannon, Wendy Lorraine is an individual health care provider with primary practice located at 8300 E 96Th St , Fishers IN 46037-9795. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shannon, Wendy Lorraine can be contacted via phone (317) 621-1290.

Contact Information

Primary practice address
8300 E 96Th St Fishers IN 46037-9795
Phone: (317) 621-1290
Fax: (317) 621-1291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000333A Indiana

Profile Details

NPI number 1497868186
LBN Legal business name Shannon, Wendy Lorraine
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 27th, 2023 - about last year

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 1497868186 NPPES
Indiana MEDICAID 200190000

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