Individual
MS. REBA J GOSHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2102 N MAIN ST, NAPPANEE, IN 46550-9310
(574) 862-2165
(574) 862-4112
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71000002A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200937920
—
IN
Enumeration date
06/25/2007
Last updated
04/28/2023
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