Individual
MARION NYAGUTHII NGANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 N 3RD ST, GOSHEN, IN 46528-7100
(574) 534-0088
Mailing address
29363 RAINTREE CT, ELKHART, IN 46517-9008
(574) 612-8504
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28195276A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014560A
IN
Other
Enumeration date
09/14/2023
Last updated
01/12/2024
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