Shane R Wilson-white, NURSE PRACTITIONER is a family nurse practitioner in Bloomington, IN. Shane R Wilson-white, NURSE PRACTITIONER NPI is 1952910531. 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:
1004 W 1ST ST
BLOOMINGTON, IN
ZIP 47403-208
Phone: (812) 362-5149
The enumeration date for this NPI number is 7/29/2020 and was last updated on 5/24/2023.