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Shelby R Kiebel, NP
Nurse Practitioner in Fort Wayne, Indiana
NPI 1669526695

Shelby R Kiebel is a Nurse Practitioner based in Indianapolis, IN. Shelby R Kiebel practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Shelby R Kiebel is 1669526695 and holds a License No. 71001617A (Indiana).

The current practice location address for Shelby R Kiebel is 7411 Hope Dr Ste C, Fort Wayne, IN and can be reached out via phone at 260-234-5400 and via fax at 260-234-5395.

Location: 7411 Hope Dr Ste C, Fort Wayne, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669526695
Provider Name
Shelby R Kiebel
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
7411 Hope Dr Ste C, Fort Wayne, IN, 46219-4959
Phone Number
260-234-5400
Fax Number
260-234-5395
Provider Enumeration Date
01/23/2007
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
200468450 05 IN
1102405962 01 IN ANTHEM PTAN
institution
Provider Business Practice Location Address Details
Address
7411 Hope Dr Ste C
City
Fort Wayne
State
Indiana
Zip
46815-5687
Phone Number
260-234-5400
Fax Number
260-234-5395
person
Provider Business Mailing Address Details
Address
7411 Hope Dr Ste C
City
Fort Wayne
State
Indiana
Zip
46815-5687
Phone Number
260-234-5400
Fax Number
260-234-5395
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71001617A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71001617A (Indiana)
Definition
Definition to come...
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