Individual
MRS. REBECCA SUE GASCOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
8827 DUNE CREEK CV, FORT WAYNE, IN 46835-9628
(989) 980-6514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704149335
MI
Other
Enumeration date
09/01/2006
Last updated
03/07/2023
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