SearchIndiana363LG0600X

Shivani Walkosak

NPI 1659932309 · on the registry since 2019

Practice

Address
700 E Walnut St
Evansville, IN 47713
Phone
(812) 990-5800
Organisation at this address
Boldage Pace Indiana Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Also registered as
363LG0600X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-26

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