Shivaughn Petkus, FNP is a family nurse practitioner in Indianapolis, IN with 10 years of experience. Shivaughn Petkus, FNP NPI is 1578349551. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4519 E 82ND ST
INDIANAPOLIS, IN
ZIP 46250-241
Phone: (317) 849-2244
The NPI 1578349551 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/5/2023 and was last updated on 9/5/2023.