Healthcare Provider Details

I. General information

NPI: 1306899224
Provider Name (Legal Business Name): SHEILA ABEBE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13085 TEGLER DR
NOBLESVILLE IN
46060-5417
US

IV. Provider business mailing address

13085 TEGLER DR
NOBLESVILLE IN
46060-5417
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax: 401-652-0917
Mailing address:
  • Phone: 866-389-2727
  • Fax: 401-652-0917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71001208A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: