Individual
MALINDA K SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10101 ERNST RD STE 1200, ROANOKE, IN 46783-9711
(260) 234-5400
(260) 234-5410
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011971A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300058858
—
IN
Enumeration date
09/30/2021
Last updated
01/09/2025
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