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Allison Rae Shrack
Family Nurse Practitioner in Lebanon, Indiana
NPI 1053858621

Allison Rae Shrack is a Family Nurse Practitioner based in Lebanon, IN and is specialized in Family. Allison Rae Shrack practices in Lebanon, IN. The NPI Number for Allison Rae Shrack is 1053858621 and holds a License No. 28203711A (Indiana).

The current practice location address for Allison Rae Shrack is 400 N Mount Zion Rd, Lebanon, IN and can be reached out via phone at 765-335-0123 and via fax at 765-335-0127.

Location: 400 N Mount Zion Rd, Lebanon, IN, 46052-1476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053858621
Provider Name
Allison Rae Shrack
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 N Mount Zion Rd, Lebanon, IN, 46052-1476
Phone Number
765-335-0123
Fax Number
765-335-0127
Provider Enumeration Date
01/20/2017
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300010815 05 IN
institution
Provider Business Practice Location Address Details
Address
400 N Mount Zion Rd
City
Lebanon
State
Indiana
Zip
46052-9497
Phone Number
765-335-0123
Fax Number
765-335-0127
person
Provider Business Mailing Address Details
Address
400 N Mount Zion Rd
City
Lebanon
State
Indiana
Zip
46052-9497
Phone Number
765-335-0123
Fax Number
765-335-0127
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28203711A (Indiana)
Definition
Definition to come...
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