Individual
ANN M GANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
717 E BROADWAY ST, FORTVILLE, IN 46040-1551
(317) 621-9220
(317) 621-9222
Mailing address
717 E BROADWAY ST, FORTVILLE, IN 46040-1551
(317) 621-9220
(317) 621-9222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000302A
IN
Other
Enumeration date
08/09/2006
Last updated
06/21/2011
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