Individual
RANDALL S. GARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-6263
(317) 528-1219
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28251265A
IN
363L00000X
Nurse Practitioner
71012621A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012621A
IN
Other
Enumeration date
06/10/2022
Last updated
02/23/2026
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