Individual
MRS. SHEA N AULBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
8111 TOWNSHIP LINE RD, SUITE 207, INDIANAPOLIS, IN 46260-2479
(317) 415-7921
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
71002652A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201114670
—
IN
Enumeration date
09/09/2008
Last updated
12/17/2014
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