Individual
SASHA L. SHUMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 E STATE ROAD 205 STE 150, COLUMBIA CITY, IN 46725-8505
(260) 248-9890
(260) 248-9895
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008019A
IN
Other
Enumeration date
04/13/2018
Last updated
10/03/2022
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