Individual
SHAWN A TINKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
355 W 16TH ST, SUITE 5100, INDIANAPOLIS, IN 46202-2247
(317) 396-1300
(317) 924-8472
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28158483A
IN
363L00000X
Nurse Practitioner
Primary
71004216A
IN
Other
Enumeration date
07/25/2012
Last updated
11/20/2020
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