Individual
KATIE MARIE GOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1939 GOLDSMITH LN STE 117, LOUISVILLE, KY 40218-3176
(502) 384-5436
(502) 530-8046
Mailing address
13139 N COUNTY ROAD 1450 E, TROY, IN 47588-9653
(812) 549-6012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011722A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3016927
KENTUCKY APRN LICENSURE
KY
01
—
71011722A
INDIANA APRN LICENSURE
IN
Enumeration date
10/14/2021
Last updated
03/14/2024
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