Individual
MRS. LENSA GIDEON GIRSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MS, APN
Contact information
Practice address
417 S WHITLOCK ST, BREMEN, IN 46506-1626
(574) 546-3730
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8707
(574) 335-0750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28163955A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201253250
—
IN
Enumeration date
10/08/2009
Last updated
06/04/2020
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