Individual
KARLEY B GAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP
Contact information
Practice address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(317) 963-0174
Mailing address
7008 E 700 N, NEEDHAM, IN 46162-9736
(317) 965-9062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71016225A
IN
363LA2100X
Acute Care Nurse Practitioner
71016225A
IN
Other
Enumeration date
01/15/2025
Last updated
03/10/2025
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