Individual
SHAKEETA M. COTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1801 N SENATE BLVD STE 2000, INDIANAPOLIS, IN 46202-1252
(317) 962-0500
(317) 962-0501
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28230480A
IN
163WG0600X
Gerontology Registered Nurse
71011743A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71011743A
IN
Other
Enumeration date
10/19/2021
Last updated
12/29/2021
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