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Sandra R Gates-manna, NP
Family Nurse Practitioner in La Porte, Indiana
NPI 1124396072

Sandra R Gates-manna is a Family Nurse Practitioner based in La Porte, IN and is specialized in Family. Sandra R Gates-manna practices in La Porte, IN and has the professional credentials of NP. The NPI Number for Sandra R Gates-manna is 1124396072 and holds a License No. 28125285A (Indiana).

The current practice location address for Sandra R Gates-manna is 1509 State St, La Porte, IN and can be reached out via phone at 219-325-5434 and via fax at 219-325-7655.

Location: 1509 State St, La Porte, IN, 46352-1690
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Provider Profile Details
NPI Number
1124396072
Provider Name
Sandra R Gates-manna
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1509 State St, La Porte, IN, 46352-1690
Phone Number
219-325-5434
Fax Number
219-325-7655
Provider Enumeration Date
12/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201059520 05 IN
000000758275 01 IN ANTHEM BCBS
151020006 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1509 State St
City
State
Zip
46350-3115
Phone Number
219-325-5434
Fax Number
219-325-7655
person
Provider Business Mailing Address Details
Address
1509 State St
City
State
Zip
46350-3115
Phone Number
219-325-5434
Fax Number
219-325-7655
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28125285A (Indiana)
Definition
Definition to come...
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