Individual
SHARON D MUSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
826 N 6TH ST, MONTICELLO, IN 47960-1752
(574) 583-3333
Mailing address
506 PRAIRIE CT, MONTICELLO, IN 47960-2410
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000753A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000543190
ANTHEM BLUE CROSS/BLUE SHIELD
IN
Enumeration date
06/21/2005
Last updated
02/06/2009
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