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Gregory George Bingaman, NP
Acute Care Nurse Practitioner in South Bend, Indiana
NPI 1265700090

Gregory George Bingaman is an Acute Care Nurse Practitioner based in South Bend, IN and is specialized in Acute Care. Gregory George Bingaman practices in South Bend, IN and has the professional credentials of NP. The NPI Number for Gregory George Bingaman is 1265700090 and holds a License No. 4704338962 (Indiana).

The current practice location address for Gregory George Bingaman is 621 Memorial Dr Ste 502, South Bend, IN and can be reached out via phone at 574-647-5875 and via fax at 574-647-5878. You can also correspond with Gregory George Bingaman through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 621 Memorial Dr Ste 502, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265700090
Provider Name
Gregory George Bingaman
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
621 Memorial Dr Ste 502, South Bend, IN, 46617-1924
Phone Number
574-647-5875
Fax Number
574-647-5878
Provider Enumeration Date
12/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201205150 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 502
City
South Bend
State
Indiana
Zip
46601-1075
Phone Number
574-647-5875
Fax Number
574-647-5878
person
Provider Business Mailing Address Details
Address
710 N Niles Ave
City
South Bend
State
Indiana
Zip
46617-1924
Phone Number
574-647-1610
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71003819A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
4704338962 (Michigan)
Definition
Definition to come...
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