Individual
GLORIA GAUBATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6920 POINTE INVERNESS WAY, SUITE 250, FORT WAYNE, IN 46804-7938
(260) 436-4060
(260) 436-5713
Mailing address
1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-7854
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000000X
IN
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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