Individual
SHELBY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7250 CLEARVISTA DR, STE 355, INDIANAPOLIS, IN 46256-4692
(317) 621-5676
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002181A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01824841
RR PTAN
—
Enumeration date
01/19/2017
Last updated
12/22/2025
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