Individual
CIARA MARIE GOODBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
1107 TAMPICO RD, GREENWOOD, IN 46143-1932
(317) 397-1613
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013743A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28234390A
RN LICENSE
IN
Enumeration date
03/29/2022
Last updated
04/03/2024
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