SHANE R WILSON-WHITE

BRAZIL, IN
NPI1952910531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010305A)
Enumeration Date2020-07-29
Last Update Date2025-03-21
Business Address
SHANE R WILSON-WHITE Nurse Practitioner
2186 W US HIGHWAY 40
BRAZIL, IN 47834-7201
Phone number: 812-878-8223
Mailing Address
SHANE R WILSON-WHITE Nurse Practitioner
2186 W US HIGHWAY 40
BRAZIL, IN 47834-7201
Phone number: 812-878-8223
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