| Shila Ham, APRN | |
|
7149 State Highway 67, Gosport, IN 47433-7985 | |
| (812) 360-2414 | |
| Not Available |
| Full Name | Shila Ham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 7149 State Highway 67, Gosport, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407627912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71014756A (Indiana) | Primary |
| Entity Name | Adult And Child Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154368512 PECOS PAC ID: 3678567898 Enrollment ID: O20050119000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Shila Ham, APRN 7149 State Highway 67, Gosport, IN 47433-7985 Ph: (812) 360-2414 | Shila Ham, APRN 7149 State Highway 67, Gosport, IN 47433-7985 Ph: (812) 360-2414 |
Sarah E Parker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 E Main St, Gosport, IN 47433 Phone: 812-879-4222 | |
Cynthia L Colglazier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 E Main St, Gosport, IN 47433 Phone: 812-879-4222 Fax: 812-879-4834 | |
Mrs. Peggy Ann Walters, RN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 E Main St, Gosport, IN 47433 Phone: 812-879-4222 Fax: 812-879-4834 |