Individual
SUE E GAEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6940 MICHIGAN RD, STE 140, INDIANAPOLIS, IN 46268-2800
(317) 266-2901
(317) 266-2912
Mailing address
8910 PURDUE RD, STE.500, INDIANAPOLIS, IN 46268-6100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000070A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200064210
—
IN
Enumeration date
05/10/2006
Last updated
03/07/2010
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