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Wanda Gay Gifford, APRN-BC
Family Nurse Practitioner in Rensselaer, Indiana
NPI 1194768010

Wanda Gay Gifford is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Wanda Gay Gifford practices in Rensselaer, IN and has the professional credentials of APRN-BC. The NPI Number for Wanda Gay Gifford is 1194768010 and holds a License No. 71000809A (Indiana).

The current practice location address for Wanda Gay Gifford is 118 W Drexel Pkwy, Rensselaer, IN and can be reached out via phone at 219-866-4300 and via fax at 219-866-7591. You can also correspond with Wanda Gay Gifford through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 118 W Drexel Pkwy, Rensselaer, IN, 48278-1076
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Provider Profile Details
NPI Number
1194768010
Provider Name
Wanda Gay Gifford
Credential
APRN-BC
Provider Entity Type
Individual
Gender
Female
Address
118 W Drexel Pkwy, Rensselaer, IN, 48278-1076
Phone Number
219-866-4300
Fax Number
219-866-7591
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200305970 05 IN
institution
Provider Business Practice Location Address Details
Address
118 W Drexel Pkwy
City
State
Zip
47978-7344
Phone Number
219-866-4300
Fax Number
219-866-7591
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Provider Business Mailing Address Details
Address
Po Box 781076
City
State
Zip
48278-1076
Phone Number
317-528-4800
Fax Number
317-865-1479
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71000809A (Indiana)
Definition
Definition to come...
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