Healthcare Provider Details
I. General information
NPI: 1235183336
Provider Name (Legal Business Name): SHEILA SUE ZIELINSKI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/22/2006
Last Update Date: 08/12/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
GENNESARET CLINIC 3001 EAST 30TH ST.
INDIANAPOLIS IN
46218
US
IV. Provider business mailing address
615 N. ALABAMA ST. STE. 136
INDIANAPOLIS IN
46204-1431
US
V. Phone/Fax
- Phone: 800-696-1511
- Fax: 317-639-5609
- Phone: 317-639-5645
- Fax: 317-639-5609
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | 71000121A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 71000121A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: