Individual
DEOANNA GORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28198660A
IN
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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