Individual
CHARLOTTE I GANGWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
7968 PENDLETON PIKE, STE B, INDIANAPOLIS, IN 46226-3957
(317) 541-8101
(317) 536-6559
Mailing address
9641 KIRK ALLEN DR, INDIANAPOLIS, IN 46235-4781
(317) 898-4601
(317) 536-6559
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
7100118A
IN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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