Individual
MADISON N SHELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 963-1300
(317) 222-2012
Mailing address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28244264A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014727A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300084887
—
IN
Enumeration date
11/27/2023
Last updated
06/09/2025
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