Individual provider · Type 1 NPI
Shelby Wade
Psychiatric/Mental Health Nurse Practitioner · Indianapolis, IN
NPI number
1407620354
Active
Practice location
8401 Harcourt Rd
Indianapolis, IN 46260-2036
Other practice locations
- 821 N State Road 135, Greenwood, IN 46142-1314 · (317) 560-4300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 28252739C (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71014789A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1407620354
Shelby Wade's National Provider Identifier is 1407620354, issued on Nov 10, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 20, 2024.