Individual
SHANTAL HUCKABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3200 SYCAMORE CT, COLUMBUS, IN 47203-1550
(812) 378-9027
(812) 378-1014
Mailing address
963 LAPWING DR, COLUMBUS, IN 47203-1923
(224) 433-0135
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28206722C
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28206722A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28206722C
IN
Other
Enumeration date
05/09/2025
Last updated
05/12/2026
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