Individual
SHEYANNE BREUNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7979 N SHADELAND AVE STE 310, INDIANAPOLIS, IN 46250-2042
(317) 621-3891
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003209A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300048339
—
IN
01
—
Q00288118
RAILROAD MEDICARE
IN
Enumeration date
12/18/2020
Last updated
04/02/2025
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