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Nicole Elizabeth Shafer, RN,CPNP
Pediatric Nurse Practitioner in Indianapolis, Indiana
NPI 1356599112

Nicole Elizabeth Shafer is a Pediatric Nurse Practitioner based in Indianapolis, IN and is specialized in Pediatrics. Nicole Elizabeth Shafer practices in Indianapolis, IN and has the professional credentials of RN,CPNP. The NPI Number for Nicole Elizabeth Shafer is 1356599112 and holds a License No. 71002493B (Indiana).

The current practice location address for Nicole Elizabeth Shafer is 8040 Clearvista Parkway, Indianapolis, IN and can be reached out via phone at 317-621-2660 and via fax at 317-621-1535.

Location: 8040 Clearvista Parkway, Indianapolis, IN, 46250-2890
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Provider Profile Details
NPI Number
1356599112
Provider Name
Nicole Elizabeth Shafer
Credential
RN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
8040 Clearvista Parkway, Indianapolis, IN, 46250-2890
Phone Number
317-621-2660
Fax Number
317-621-1535
Provider Enumeration Date
09/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201139570 05 IN
P01424401 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
8040 Clearvista Parkway
City
State
Zip
46256-5630
Phone Number
317-621-2660
Fax Number
317-621-1535
person
Provider Business Mailing Address Details
Address
8040 Clearvista Parkway
City
State
Zip
46256-5630
Phone Number
317-621-2660
Fax Number
317-621-1535
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
71002493B (Indiana)
Definition
Definition to come...
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