Individual
MONICA ISABEL RENTERIA GAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2606 PEDDLERS VILLAGE RD STE 210, GOSHEN, IN 46526-1004
(574) 534-3300
Mailing address
2606 PEDDLERS VILLAGE RD STE 210, GOSHEN, IN 46526-1004
(574) 534-3300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28244992A
IN
363LF0000X
Family Nurse Practitioner
Primary
71015517A
IN
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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