Individual
PATRICIA GASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
610 N MICHIGAN ST, SUITE 400, SOUTH BEND, IN 46601-1077
(574) 647-8120
(574) 647-8111
Mailing address
3245 HEALTH DR STE 100, SOUTH BEND, IN 46530-1380
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006419A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201380770
—
IN
Enumeration date
06/13/2016
Last updated
08/25/2023
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