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SHELLEY GOUGH, NP-C

NP-C

Family Nurse Practitioner

NPI: 1164019501IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Code: 163W00000X

28194797A(IN)

Nurse Practitioner — Family

Code: 363LF0000X

71010755A(IN)

CMS Specialties

Education

OTHER

Class of 2020

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Contact & Hours

Address
3512 STELLHORN RD
FORT WAYNE, IN 46815

Quick Facts

NPI
1164019501
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
3
Years in Practice
6

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