Individual
SALLY A SCHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
600 MARY STREET, EVANSVILLE, IN 47747-0001
(812) 450-3405
(812) 450-3099
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002562A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000546681
ANTHEM PIN - MARY ST
IN
01
—
000000547016
ANTHEM - GATEWAY BLVD
IN
Enumeration date
12/07/2007
Last updated
04/10/2008
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