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Individual

NAGESHWARI GOLLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 941-4500
(812) 941-4506
Mailing address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 941-4500
(812) 941-4506

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3016432
KY
363LF0000X
Family Nurse Practitioner
Primary
71012029
IN

Other

Enumeration date
08/05/2021
Last updated
02/04/2022
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