Search › Indiana › 183500000X
Shelly Hetler, RPH
NPI 1225674567 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5725 Coventry Ln
Fort Wayne, IN 46804 - Phone
- (260) 432-2475
- Fax
- (260) 432-2494
- Organisation at this address
- Kroger Limited Partnership I
Kroger Limited Partnership IInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-21
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