Individual
SHELBY RENE BAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-7666
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009361A
IN
363LF0000X
Family Nurse Practitioner
RN-INDIANA-28231867A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030784
—
IN
Enumeration date
08/03/2019
Last updated
04/09/2026
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