Individual
ERIN KELSEY SHUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8607 TEMPLE DR, FORT WAYNE, IN 46809-3048
(260) 478-9220
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28225937A
IN
363L00000X
Nurse Practitioner
Primary
71011952A
IN
Other
Enumeration date
10/31/2021
Last updated
05/04/2023
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