Individual
KATHRYN M GORENFLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-4705
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28261221A
IN
363LF0000X
Family Nurse Practitioner
4704246580NSA200EI
MI
363LF0000X
Family Nurse Practitioner
Primary
71010206A
IN
Other
Enumeration date
07/16/2020
Last updated
10/27/2022
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