Organization
BROOKSIDE MEDICAL HOME VISITS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA E POE-AMES CFNP (PROVIDER)
(812) 229-8707
Entity
Organization
Contact information
Practice address
265 W COUNTY ROAD 850 S, CLAY CITY, IN 47841-8210
(812) 229-8707
(812) 442-2781
Mailing address
265 W COUNTY ROAD 850 S, CLAY CITY, IN 47841-8210
(812) 229-8707
(812) 442-2781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
05/08/2019
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