Kathryn M Gorenflo, APRN FNP-BC
Nurse Practitioner, Family in Indianapolis, IN. Individual provider (NPI-1).
NPI number1164030144
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1164030144
- Entity type
- Individual (NPI-1)
- Name
- Kathryn M Gorenflo
- Credential
- APRN FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2020
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71010206A | IN | Yes |
| 363LF0000X | Nurse Practitioner, Family | 28261221A | IN | |
| 363LF0000X | Nurse Practitioner, Family | 4704246580NSA200EI | MI |
Practice location
550 University BlvdIndianapolis, IN 46202-5149
Phone 317-944-4705
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
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