Individual
LINDSEY SHADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
411 E CHESTNUT ST # 5A, LOUISVILLE, KY 40202-1713
(502) 588-7450
(502) 588-7728
Mailing address
4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3068
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3014890
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300053910
—
IN
05
—
7100761790
—
KY
Enumeration date
04/30/2021
Last updated
09/02/2021
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