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Gwendolyn Sue Kresovsky, NP-C
Adult Health Nurse Practitioner in Columbus, Indiana
NPI 1649465410

Gwendolyn Sue Kresovsky is an Adult Health Nurse Practitioner based in Chicago, IN and is specialized in Adult Health. Gwendolyn Sue Kresovsky practices in Columbus, IN and has the professional credentials of NP-C. The NPI Number for Gwendolyn Sue Kresovsky is 1649465410 and holds a License No. 71002463A (Indiana).

The current practice location address for Gwendolyn Sue Kresovsky is 2118 25Th St Ste D, Columbus, IN and can be reached out via phone at 812-372-8281 and via fax at 812-372-4525.

Location: 2118 25Th St Ste D, Columbus, IN, 60677-5383
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Provider Profile Details
NPI Number
1649465410
Provider Name
Gwendolyn Sue Kresovsky
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2118 25Th St Ste D, Columbus, IN, 60677-5383
Phone Number
812-372-8281
Fax Number
812-372-4525
Provider Enumeration Date
09/13/2007
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000986921 01 IN ANTHEM PIN
201154020 05 IN
institution
Provider Business Practice Location Address Details
Address
2118 25Th St Ste D
City
State
Zip
47201-3240
Phone Number
812-372-8281
Fax Number
812-372-4525
person
Provider Business Mailing Address Details
Address
2118 25Th St Ste D
City
State
Zip
47201-3240
Phone Number
812-372-8281
Fax Number
812-372-4525
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
71002463A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71002463A (Indiana)
Definition
Definition to come...
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