Sherrell, Shantaniece

Sherrell, Shantaniece is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy Ste B1500 , Avon IN 46123-7085. 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. Sherrell, Shantaniece can be contacted via phone (317) 217-2244.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy Ste B1500 Avon IN 46123-7085
Phone: (317) 217-2244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28172966A Indiana

Profile Details

NPI number 1609203884
LBN Legal business name Sherrell, Shantaniece
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Mar 30th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609203884 NPPES
Indiana MEDICAID 201199910
Indiana Other P01291681

Popular Providers