Shauna Kay Sidhom in Indianapolis - Nurse Practitioner
Shauna Kay Sidhom - NPI 1104009430
Shauna Kay Sidhom is a Nurse Practitioner in Indianapolis, Indiana. Shauna Kay Sidhom practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shauna Kay Sidhom is 1104009430. The last update date is 2008-04-09.
Shauna Kay Sidhom's current location address is 4026 Madison Ave, Indianapolis, Indiana. You can contact this provider via phone number 3177880396 and fax number 3177800860. The mailing address for Shauna Kay Sidhom is 4026 Madison Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shauna Kay Sidhom |
|---|---|
| Address | 4026 Madison Ave, Indianapolis, Indiana |
| Phone Number | 3177880396 |
| Fax Number | 3177800860 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1104009430 |
|---|---|
| Provider Enumeration Date | 2007-12-10 |
| Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
| Address | 4026 Madison Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 46227 |
| Phone Number | 3177880396 |
| Fax Number | 3177800860 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71002333A |
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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 certifi |
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What is the unique identifier code issued to Shauna Kay Sidhom by the Centers for Medicare & Medicaid Services?
The Shauna Kay Sidhom has been assigned the NPI (National Provider Identifier) 1104009430. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shauna Kay Sidhom located?
The Shauna Kay Sidhom is located at 4026 Madison Ave, Indianapolis, IN 46227.
What is Shauna Kay Sidhom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shauna Kay Sidhom is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Shauna Kay Sidhom receive the assignment of its 1104009430 from the Centers for Medicare & Medicaid Services?
The Shauna Kay Sidhom was issued its 1104009430 by the Centers for Medicare & Medicaid Services on 2007-12-10.
When was the Shauna Kay Sidhom's information last updated?
The Shauna Kay Sidhom's information was last updated on 2008-04-09.
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