Individual
SHIVANI WALKOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E WALNUT ST, EVANSVILLE, IN 47713-2561
(812) 990-5800
Mailing address
700 E WALNUT ST, EVANSVILLE, IN 47713-2561
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28217074A
IN
363LG0600X
Gerontology Nurse Practitioner
71009427A
IN
Other
Enumeration date
06/24/2019
Last updated
02/26/2024
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