Shelton, Grover Alexander

Shelton, Grover Alexander is an individual health care provider with primary practice located at 8075 N Shadeland Ave Ste 200 , Indianapolis IN 46250. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Shelton, Grover Alexander can be contacted via phone (317) 621-8500.

Contact Information

Primary practice address
8075 N Shadeland Ave Ste 200 Indianapolis IN 46250
Phone: (317) 621-8500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 429527 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71008853A Indiana

Profile Details

NPI number 1316415136
LBN Legal business name Shelton, Grover Alexander
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2018
Last updated Oct 20th, 2020 - about 4 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 1316415136 NPPES
Indiana MEDICAID 300023898

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