Individual
MRS. DEBORAH L. GUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2240 KARISA DR, SUITE 1, GOSHEN, IN 46526-6943
(574) 534-6757
(574) 537-0357
Mailing address
2240 KARISA DR, SUITE 1, GOSHEN, IN 46526-6943
(574) 534-6757
(574) 537-0357
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000520A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000606423
ANTHEM BLUE CROSS BLUE SHIELD
IN
05
—
200506110
—
IN
Enumeration date
01/28/2006
Last updated
01/04/2010
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