person
Braxton R Shidler, FNP
Family Nurse Practitioner in Indianapolis, Indiana
NPI 1013660786

Braxton R Shidler is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Braxton R Shidler practices in Indianapolis, IN and has the professional credentials of FNP. The NPI Number for Braxton R Shidler is 1013660786 and holds a License No. 71012197A (Indiana).

The current practice location address for Braxton R Shidler is 5230 E Stop 11 Rd Ste 150, Indianapolis, IN and can be reached out via phone at 317-865-5904 and via fax at 317-865-5321.

Location: 5230 E Stop 11 Rd Ste 150, Indianapolis, IN, 48278-1076
person
Provider Profile Details
NPI Number
1013660786
Provider Name
Braxton R Shidler
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
5230 E Stop 11 Rd Ste 150, Indianapolis, IN, 48278-1076
Phone Number
317-865-5904
Fax Number
317-865-5321
Provider Enumeration Date
02/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5230 E Stop 11 Rd Ste 150
City
State
Zip
46237-6399
Phone Number
317-865-5904
Fax Number
317-865-5321
person
Provider Business Mailing Address Details
Address
5230 E Stop 11 Rd Ste 150
City
State
Zip
46237-6399
Phone Number
317-865-5904
Fax Number
317-865-5321
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71012197A (Indiana)
Definition
Definition to come...
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