Forney, Shelby
Forney, Shelby is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Forney, Shelby can be contacted via phone (317) 944-2143.Contact Information
Primary practice address
705 Riley Hospital Dr
Indianapolis IN 46202-5109
Phone: (317) 944-2143
Fax: (317) 944-3107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 28236497A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 71010070B | Indiana |
Profile Details
| NPI number | 1073158986 |
|---|---|
| LBN Legal business name | Forney, Shelby |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2019 |
| Last updated | Jul 22nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073158986 | NPPES |
| Indiana | MEDICAID | 300038711 |
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