Individual
LYDIA REYNALDA GORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4014 S COUNTY ROAD 925 W, MEDORA, IN 47260-9707
(812) 966-0186
Mailing address
4014 S COUNTY ROAD 925 W, MEDORA, IN 47260-9707
(812) 966-0186
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012451
IN
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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