SHEA ROBERT IDLEWINE

COLUMBUS, IN
NPI1427694983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71009453A)
Enumeration Date2019-11-20
Last Update Date2020-10-29
Business Address
SHEA ROBERT IDLEWINE FNP-C
3203 MIDDLE DR STE 230
COLUMBUS, IN 47203-4427
Phone number: 812-373-2700
Mailing Address
SHEA ROBERT IDLEWINE FNP-C
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number: 812-375-3000
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