Individual
GINA GORDENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 PARK PLACE CIR STE 200, MISHAWAKA, IN 46545-3585
(574) 607-4724
(574) 607-4725
Mailing address
515 PARK PLACE CIR STE 200, MISHAWAKA, IN 46545-3585
(574) 607-4724
(574) 607-4725
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71015969A
IN
363LG0600X
Gerontology Nurse Practitioner
71015969A
IN
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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