Organization
SHUNGO CARE
Active
Organization
SHUNGO CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AYANNA D WASHINGTON ADVANCED PRACTICE RN (DIRECTOR)
(219) 515-6182
Entity
Organization
Contact information
Practice address
16 E US HIGHWAY 30, SCHERERVILLE, IN 46375-2105
(219) 515-6182
Mailing address
273 MILBURN AVE, CRETE, IL 60417-2312
(219) 515-6182
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/06/2021
Last updated
07/14/2026
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