Individual
GINA LANORE GWERDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
853 WATSON ST N, ENUMCLAW, WA 98022-3948
(360) 768-4045
Mailing address
19505 SE 384TH ST, AUBURN, WA 98092-9755
(253) 508-4141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61354263
WA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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