Healthcare Provider Details
I. General information
NPI: 1770822058
Provider Name (Legal Business Name): MARGOT K SHEETS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/07/2013
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1402 E COUNTY LINE RD SUITE 2400
INDIANAPOLIS IN
46227-0963
US
IV. Provider business mailing address
1000 E MAIN ST
DANVILLE IN
46122-1948
US
V. Phone/Fax
- Phone: 317-887-7880
- Fax: 317-887-7660
- Phone: 317-745-4451
- Fax: 317-718-6740
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 71004311A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: