BRAXTON R SHIDLER

INDIANAPOLIS, IN
NPI1013660786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71012197A)
Enumeration Date2022-02-01
Last Update Date2025-05-05
Business Address
BRAXTON R SHIDLER FNP
8205 E 56TH ST STE 100
INDIANAPOLIS, IN 46216-1069
Phone number: 317-621-1006
Mailing Address
BRAXTON R SHIDLER FNP
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-7547
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