Individual
MR. GROVER ALEXANDER SHELTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8075 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250
(317) 621-8500
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7588
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
429527
OH
363L00000X
Nurse Practitioner
Primary
71008853A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023898
—
IN
Enumeration date
11/09/2018
Last updated
10/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us