Individual
MRS. BRIDJETT RHENETTE GASSAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1320 W STATE ROAD 2, LA PORTE, IN 46350-4666
(219) 727-6431
Mailing address
10736 RANDOLPH ST, WINFIELD, IN 46307-7983
(219) 243-8140
(219) 243-8141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008555A
IN
Other
Enumeration date
10/24/2018
Last updated
01/12/2026
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