SHANE R WILSON-WHITE

SPENCER, IN
NPI1952910531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010305A)
Enumeration Date2020-07-29
Last Update Date2025-01-09
Business Address
SHANE R WILSON-WHITE Nurse Practitioner
630 W STATE HIGHWAY 46
SPENCER, IN 47460-6439
Phone number: 888-862-9525
Mailing Address
SHANE R WILSON-WHITE Nurse Practitioner
630 W STATE HIGHWAY 46
SPENCER, IN 47460-6439
Phone number: 888-862-9525