Individual
KRYSTIN CHANELLE SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260
(317) 583-7600
Mailing address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003987A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71003987A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201077320
—
IN
Enumeration date
05/11/2012
Last updated
08/16/2022
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