Individual
MRS. BRITTANY CHRISTINE GONGWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BSN
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-1000
Mailing address
57024 COUNTY ROAD 23, GOSHEN, IN 46528-9559
(574) 333-5086
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28243078A
IN
207P00000X
Emergency Medicine Physician
4704380406
MI
Other
Enumeration date
08/14/2025
Last updated
04/29/2026
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