Individual
SHURIKA LYDEL PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1533 CHESTER BLVD, RICHMOND, IN 47374-1914
(317) 319-2514
Mailing address
1533 CHESTER BLVD, RICHMOND, IN 47374-1914
(317) 319-2514
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001424A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000779072
ANTHEM
IN
Enumeration date
07/05/2012
Last updated
02/18/2015
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