Search › Indiana › 363LF0000X
Shane Wilson-White, NURSE PRACTITIONER
NPI 1952910531 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2186 W Us Highway 40
Brazil, IN 47834 - Phone
- (812) 878-8223
- Fax
- (812) 443-0668
- Organisation at this address
- Bright Soul Wellness Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 630 W State Highway 46, Spencer, IN
- 5510 S Emerson Ave, Indianapolis, IN
- 501 E Jackson St, Brazil, IN
- 6200 E Highway 62, Jeffersonville, IN
- 3495 S 4th St, Terre Haute, IN
- 1004 W 1st St, Bloomington, IN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-21
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