| NPI | 1992336713 | 
|---|---|
| Former Name | SHANA L WINDELL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010258A)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28232247C)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: IN F12191057)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28232247A)  | |
| Enumeration Date | 2020-01-30 | 
| Last Update Date | 2024-12-10 |