SearchIndianaGerontology Nurse Practitioner

Shan Li

NPI 1194569434 · on the registry since 2024

Practice

Address
2100 N Main St # 304
Crown Point, IN 46307
Phone
(574) 546-1900
Fax
(574) 546-1999
Clinicians at this address
40

Additional practice sites

  • 5508 Agape Ln, Valparaiso, IN

Registry record

Primary taxonomy
Gerontology Nurse Practitioner
363LG0600X
Also registered as
Nurse Practitioner
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana