DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ERIN KELSEY SHUTT FNP

MEDICARE: ERIN KELSEY SHUTT FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse28225937AIN
2363L00000XNurse Practitioner71011952AIN

General Provider Information

NPI Number : 1134884687
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN KELSEY SHUTT FNP
Provider Business Mailing Address
First Line : 11109 PARKVIEW PLAZA DR # 117
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8607 TEMPLE DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46809-3048
Country : US
Telephone Number : 260-478-9220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2021
Last Update Date : 05/04/2023

Similar Medicare Providers

1144201971 — PGP FAMILY PHYSICIANS, LLC
Practice Location Address:
8607 TEMPLE DR
FORT WAYNE, IN
46809-3048
Practice Phone: 260-478-9220
Practice Fax: 260-478-9172
1134100654 — DR. RHONDA L PHILLIPS DO
Practice Location Address:
8607 TEMPLE DR
FORT WAYNE, IN
46809-3048
Practice Phone: 260-478-9220
Practice Fax: 260-478-9172
1477534998 — DR. DOUGLAS LEON PHILLIPS II DO
Practice Location Address:
8607 TEMPLE DR
FORT WAYNE, IN
46809-3048
Practice Phone: 260-478-9220
Practice Fax: 260-478-9172
1609206093 — MRS. BETSY CARMIEN R.D.
Practice Location Address:
8607 TEMPLE DR
FORT WAYNE, IN
46809-3048
Practice Phone: 260-478-9220
Practice Fax: 260-478-9172
1912486689 — ASHLEY HUGHES
Practice Location Address:
8607 TEMPLE DR
FORT WAYNE, IN
46809-3048
Practice Phone: 260-478-9220
Practice Fax:
1285258053 — KENAN ALIBEGOVIC DO
Practice Location Address:
8607 TEMPLE DR
FORT WAYNE, IN
46809-3048
Practice Phone: 260-478-9220
Practice Fax: 260-478-9172

Directions to “ ERIN KELSEY SHUTT FNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.