Individual
NICOLE M GASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(260) 415-0477
Mailing address
11525 N 100 W, OSSIAN, IN 46777-9742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003296A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200989800
—
IN
Enumeration date
06/11/2010
Last updated
07/22/2020
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