Individual
NICOLE M SHIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7400 N SHADELAND AVE STE 100, INDIANAPOLIS, IN 46250-2076
(317) 621-6900
(317) 621-4460
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001278A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003536
—
IN
Enumeration date
07/07/2011
Last updated
02/09/2026
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