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Individual

MS. GINA ALESSIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN,APN-CNS,CWCN

Contact information

Practice address
320 W 61ST AVE, HOBART, IN 46342-6490
(219) 947-6448
(219) 947-6839
Mailing address
320 W 61ST AVE, HOBART, IN 46342-6490
(773) 706-2306
(708) 633-3306

Taxonomy

Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
41251928
IL
364S00000X
Clinical Nurse Specialist
Primary
28211957A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201204640
IN
Enumeration date
05/14/2007
Last updated
10/16/2015
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