Individual
CHASITY MCGANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
5255 E STOP 11 RD STE 450, INDIANAPOLIS, IN 46237-6342
(317) 865-4800
(317) 865-4806
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28198544A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007125A
IN
Other
Enumeration date
05/02/2017
Last updated
10/11/2023
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