Individual provider · Type 1 NPI
Shauna Kay Sidhom, NP
Nurse Practitioner · Indianapolis, IN
Practice location
4026 Madison Ave
Indianapolis, IN 46227
Fax (317) 780-0860
Mailing address
200 South Meridian Street, Suite 400
Indianapolis, IN 46225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71002333A (IN) |
| Family Nurse Practitioner | 363LF0000X | 71002333A (IN) |
Nurse Practitioner: (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 wit…
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About NPI 1104009430
Shauna Kay Sidhom, NP's National Provider Identifier is 1104009430, issued on Dec 10, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 9, 2008.