Provider Demographics
NPI:1306568944
Name:ARLES, SHELBY P (NP)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:P
Last Name:ARLES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:P
Other - Last Name:HUGHBANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6270 BRIXTON LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-4802
Mailing Address - Country:US
Mailing Address - Phone:317-313-4457
Mailing Address - Fax:
Practice Address - Street 1:6270 BRIXTON LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-4802
Practice Address - Country:US
Practice Address - Phone:317-313-4457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN798370163WP0200X
IN71014381A363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300082050Medicaid
IN1103733885OtherANTHEM PTAN