SHANTELLE M BURRESS

GRANGER, IN
NPI1285124727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007967A)
Enumeration Date2018-05-10
Last Update Date2018-05-10
Business Address
SHANTELLE M BURRESS NP
130 E CLEVELAND RD
GRANGER, IN 46530-5620
Phone number: 574-247-2221
Mailing Address
SHANTELLE M BURRESS NP
51100 OAK LINED DR
GRANGER, IN 46530-7531
Phone number: 810-701-6599