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Shea Robert Idlewine, FNP-C
Family Nurse Practitioner in Columbus, Indiana
NPI 1427694983

Shea Robert Idlewine is a Family Nurse Practitioner based in Chicago, IN and is specialized in Family. Shea Robert Idlewine practices in Columbus, IN and has the professional credentials of FNP-C. The NPI Number for Shea Robert Idlewine is 1427694983 and holds a License No. 71009453A (Indiana).

The current practice location address for Shea Robert Idlewine is 3203 Middle Dr Ste 230, Columbus, IN and can be reached out via phone at 812-373-2700.

Location: 3203 Middle Dr Ste 230, Columbus, IN, 60677-5383
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427694983
Provider Name
Shea Robert Idlewine
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
3203 Middle Dr Ste 230, Columbus, IN, 60677-5383
Phone Number
812-373-2700
Fax Number
Provider Enumeration Date
11/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3203 Middle Dr Ste 230
City
Columbus
State
Indiana
Zip
47203-4427
Phone Number
812-373-2700
Fax Number
person
Provider Business Mailing Address Details
Address
3203 Middle Dr Ste 230
City
Columbus
State
Indiana
Zip
47203-4427
Phone Number
812-373-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71009453A (Indiana)
Definition
Definition to come...
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