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Shivaughn Petkus, FNP
Family Nurse Practitioner in Indianapolis, Indiana
NPI 1578349551

Shivaughn Petkus is a Family Nurse Practitioner based in Carmel, IN and is specialized in Family. Shivaughn Petkus practices in Indianapolis, IN and has the professional credentials of FNP. The NPI Number for Shivaughn Petkus is 1578349551 and holds a License No. 71014225A (Indiana).

The current practice location address for Shivaughn Petkus is 4519 E 82Nd St, Indianapolis, IN and can be reached out via phone at 317-849-2244.

Location: 4519 E 82Nd St, Indianapolis, IN, 46032-2812
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Provider Profile Details
NPI Number
1578349551
Provider Name
Shivaughn Petkus
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4519 E 82Nd St, Indianapolis, IN, 46032-2812
Phone Number
317-849-2244
Fax Number
Provider Enumeration Date
09/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4519 E 82Nd St
City
State
Zip
46250-4241
Phone Number
317-849-2244
Fax Number
person
Provider Business Mailing Address Details
Address
4519 E 82Nd St
City
State
Zip
46250-4241
Phone Number
317-849-2244
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71014225A (Indiana)
Definition
Definition to come...
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