Individual
MRS. MELISSA ANN GOUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
8865 W 400 N STE 175, MICHIGAN CITY, IN 46360-9010
(219) 877-2225
(219) 877-2230
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
28184707A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71016769A
IN
Other
Enumeration date
06/05/2025
Last updated
07/23/2025
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