Individual
CHERYL SHIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-7541
Mailing address
1921 N 3RD ST, LOGANSPORT, IN 46947-1010
(765) 860-2063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28168027A
IN
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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