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Gina M. Connolly, NP
Adult Health Nurse Practitioner in South Bend, Indiana
NPI 1023364262

Gina M. Connolly is an Adult Health Nurse Practitioner based in South Bend, IN and is specialized in Adult Health. Gina M. Connolly practices in South Bend, IN and has the professional credentials of NP. The NPI Number for Gina M. Connolly is 1023364262 and holds a License No. 71004080A (Indiana).

The current practice location address for Gina M. Connolly is 100 Navarre Pl Ste 6600, South Bend, IN and can be reached out via phone at 574-647-8800 and via fax at 574-647-8811. You can also correspond with Gina M. Connolly through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 100 Navarre Pl Ste 6600, South Bend, IN, 46617-1924
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Provider Profile Details
NPI Number
1023364262
Provider Name
Gina M. Connolly
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 Navarre Pl Ste 6600, South Bend, IN, 46617-1924
Phone Number
574-647-8800
Fax Number
574-647-8811
Provider Enumeration Date
07/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201090780 05 IN
327270010 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
100 Navarre Pl Ste 6600
City
State
Zip
46601-1173
Phone Number
574-647-8800
Fax Number
574-647-8811
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Provider Business Mailing Address Details
Address
710 N Niles Ave
City
State
Zip
46617-1924
Phone Number
574-647-1610
Fax Number
574-237-6069
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
71004080A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71004080A (Indiana)
Definition
Definition to come...
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