Gutowski, Casaundra Marie

Gutowski, Casaundra Marie is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gutowski, Casaundra Marie can be contacted via phone (317) 944-4846.

Contact Information

Primary practice address
705 Riley Hospital Dr Indianapolis IN 46202-5109
Phone: (317) 944-4846
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 018909 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005622A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9288074 Florida

Profile Details

NPI number 1770916926
LBN Legal business name Gutowski, Casaundra Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2013
Last updated Oct 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770916926 NPPES
Florida MEDICAID 009450000
Florida MEDICAID 201331480

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