Individual
AUTUMN SHEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1214 E NATIONAL AVE STE 100, BRAZIL, IN 47834-2700
(812) 442-2820
Mailing address
1214 E NATIONAL AVE STE 100, BRAZIL, IN 47834-2700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71002091A
IN
363LP2300X
Primary Care Nurse Practitioner
28145312A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71002091A
IN
Other
Enumeration date
10/30/2007
Last updated
05/04/2023
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