MISS KELLEY ANN GANTNER NNP-BC NPI 1760756332

NPI Information

NPI: 1760756332
Provider Name: MISS KELLEY ANN GANTNER, NNP-BC
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
8111 S EMERSON AVE
INDIANAPOLIS, IN
ZIP 46237
Phone: (317) 865-5541
Get Directions

MISS Kelley Ann Gantner, NNP-BC is a neonatal nurse practitioner in Indianapolis, IN. MISS Kelley Ann Gantner, NNP-BC NPI is 1760756332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8111 S EMERSON AVE
INDIANAPOLIS, IN
ZIP 46237-601
Phone: (317) 865-5541
Fax: (317) 865-5148

The enumeration date for this NPI number is 2/29/2012 and was last updated on 1/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	71003558A	INDIANA	Yes
2	363LN0000X	Nurse Practitioner	Neonatal	28131736A	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201154390	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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