Individual
SHELLY PRICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
605 N WALNUT ST, NORTH MANCHESTER, IN 46962-1857
(260) 982-1994
Mailing address
2060 BARBERRY DR, WARSAW, IN 46582-5654
(574) 549-4460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28123343A
IN
Other
Enumeration date
07/01/2020
Last updated
10/06/2020
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