Healthcare Provider Details

I. General information

NPI: 1235026733
Provider Name (Legal Business Name): ELIRA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 S US HIGHWAY 231
JASPER IN
47546-3299
US

IV. Provider business mailing address

357 S US HIGHWAY 231
JASPER IN
47546-3299
US

V. Phone/Fax

Practice location:
  • Phone: 812-624-8551
  • Fax: 812-356-6763
Mailing address:
  • Phone: 812-624-8551
  • Fax: 800-878-4308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHAYNA WAGLER
Title or Position: PMHNP
Credential: NP
Phone: 812-624-8551