Elise Gahan, RDN
Dietitian, Registered in Indianapolis, IN. Individual provider (NPI-1).
NPI number1366042301
StatusActive
Last updated in NPPESOct 29, 2020
Details
- NPI
- 1366042301
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elise Gahan
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2020
- Certification date
- Oct 29, 2020
- Last updated
- Oct 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
3838 N Rural StIndianapolis, IN 46205-2930
Phone 402-719-4801
Mailing address
1905 Orange StIndianapolis, IN 46203-2068
Phone 402-719-4801
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