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Search › Indiana › 363LF0000X

Gail Shively, NP

NPI 1699792630 · on the registry since 2006

Practice

Address
7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone
(260) 432-2297
Fax
(260) 479-2950
Organisation at this address
Mgfw Surgery Center, Llc
Lutheran Medical Group Llc
Medical Group Of Fort Wayne, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
75

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-30

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