Individual
ROBERTA GOODING FNP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 E CLEVELAND RD, GRANGER, IN 46530-5620
(866) 389-2727
Mailing address
130 E CLEVELAND ROAD, GRANGER, IN 46530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28146796A
IN
Other
Enumeration date
04/08/2014
Last updated
05/25/2017
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