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NPI Code Detail

MEDICARE: ANNE GAUTIER

MEDICARE: ANNE GAUTIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71000917AIN

General Provider Information

NPI Number : 1477507770
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE GAUTIER
Provider Business Mailing Address
First Line : PO BOX 78158
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-0158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1434 SHELBY ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-1945
Country : US
Telephone Number : 317-655-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 07/08/2007

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Directions to “ ANNE GAUTIER ” Practice Location

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