HEATHER S GENGNAGEL

CROWN POINT, IN
NPI1467222331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71014861A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  28222842A)
Enumeration Date2024-01-03
Last Update Date2024-11-04
Business Address
HEATHER S GENGNAGEL NP
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307-0264
Phone number: 219-662-0077
Mailing Address
HEATHER S GENGNAGEL NP
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800