Search › Indiana › 363LA2100X
Gina Gordenier
NPI 1659193928 · on the registry since 2024
Practice
- Address
- 515 Park Place Cir Ste 200
Mishawaka, IN 46545 - Phone
- (574) 607-4724
- Fax
- (574) 607-4725
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LG0600X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana