Individual
REAGAN M GAMBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(317) 969-2000
Mailing address
551 N COUNTY ROAD 150 E, SULLIVAN, IN 47882-8004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28260597A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014842A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300085866
—
IN
Enumeration date
11/20/2023
Last updated
02/14/2025
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