Provider Demographics
NPI:1306899224
Name:ABEBE, SHEILA (FNP)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:ABEBE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13085 TEGLER DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-5417
Mailing Address - Country:US
Mailing Address - Phone:866-389-2727
Mailing Address - Fax:401-652-0917
Practice Address - Street 1:13085 TEGLER DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-5417
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:401-652-0917
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001208A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200347540Medicaid
INM400015732Medicare PIN
INP41185Medicare UPIN
IN717880CMedicare ID - Type Unspecified