person
Heather Gordy, NP
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1417619982

Heather Gordy is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Heather Gordy practices in Mishawaka, IN and has the professional credentials of NP. The NPI Number for Heather Gordy is 1417619982 and holds a License No. 71012042A (Indiana).

The current practice location address for Heather Gordy is 611 E Douglas Rd Ste 200, Mishawaka, IN and can be reached out via phone at 574-335-6850 and via fax at 574-335-0849.

Location: 611 E Douglas Rd Ste 200, Mishawaka, IN, 46617-2059
person
Provider Profile Details
NPI Number
1417619982
Provider Name
Heather Gordy
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
611 E Douglas Rd Ste 200, Mishawaka, IN, 46617-2059
Phone Number
574-335-6850
Fax Number
574-335-0849
Provider Enumeration Date
10/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1102223470 01 IN ANTHEM
300057950 05 IN
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 200
City
State
Zip
46545-1465
Phone Number
574-335-6850
Fax Number
574-335-0849
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 200
City
State
Zip
46545-1465
Phone Number
574-335-6850
Fax Number
574-335-0849
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71012042A (Indiana)
Definition
Definition to come...
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