Individual
MRS. CHERYL SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1400 E HANNA AVE, MH 171, INDIANAPOLIS, IN 46227-3630
(317) 788-6113
(317) 788-6208
Mailing address
1408 KESSLER BOULEVARD WEST DR, INDIANAPOLIS, IN 46228-1951
(317) 254-1701
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28105997A
IN
Other
Enumeration date
03/13/2007
Last updated
12/02/2009
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