National Provider Identifier Database

SHAUNA K SIDHOM, NP – NPI #1104009430
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

SHAUNA K SIDHOM, NP
4026 MADISON AVE
INDIANAPOLIS, IN46227
Phone: 317-788-0396
Fax: 317-780-0860
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for SHAUNA K SIDHOM

NPI Number 1104009430
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 12/10/2007
Last updated 04/09/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 71002333A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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