IndividualActive
Kelley Gantner, NNP-BC
NPI 1760756332 · Neonatal Nurse Practitioner · Indianapolis, IN
Provider details
- NPI number
- 1760756332
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 28131736A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone: (317) 865-5541
Fax: (317) 865-5148
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1026
Indianapolis, IN 46206-1026
Registry dates
- Enumerated
- 2012-02-29
- Last updated
- 2021-01-27
- Certified
- 2021-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.