Individual
GEORGIANNE PANGALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
198 E JEFFERSON ST, FRANKLIN, IN 46131-2323
(317) 739-0900
(708) 394-0911
Mailing address
198 E JEFFERSON ST, FRANKLIN, IN 46131-2323
(317) 739-0900
(708) 394-0911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209002428
IL
363L00000X
Nurse Practitioner
71003618A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003618A
IN
Other
Enumeration date
07/15/2005
Last updated
05/30/2024
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