Healthcare Provider Details

I. General information

NPI: 1831021278
Provider Name (Legal Business Name): SHELBY C HOCHSTRASSER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 LAUREL LN
GREENDALE IN
47025-1531
US

IV. Provider business mailing address

30 LAUREL LN
GREENDALE IN
47025-1531
US

V. Phone/Fax

Practice location:
  • Phone: 812-584-7371
  • Fax:
Mailing address:
  • Phone: 812-584-7371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28188302A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: