Individual
NICOLE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 CARVEL AVE, 1234 UNIT, INDIANAPOLIS, IN 46220
(219) 218-8937
Mailing address
6020 CARVEL AVE, INDIANAPOLIS, IN 46220-3296
(219) 218-8937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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