Individual
CAROL RUTH GOUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1481 W. 10TH STREET, INDIANAPOLIS, IN 46202
(317) 988-2969
(317) 988-2422
Mailing address
1481 W. 10TH STREET, INDIANAPOLIS, IN 46202
(317) 988-2969
(317) 988-2422
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000118B
IN
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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