Individual
ROSEMARY GATHUNGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1113 MOSSY LN, MISHAWAKA, IN 46544-9055
(574) 208-9114
Mailing address
360 HIAWATHA DR, ELKHART, IN 46517-1862
(574) 370-7271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010364A
IN
Other
Enumeration date
08/24/2020
Last updated
10/16/2020
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