Mckenna A Gottfried

NPI #1003328592 in Fort Wayne, Indiana

Provider Information

NPI Number
1003328592
Entity Type
Individual
Name
Mckenna A Gottfried
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Enumeration Date
Oct 25, 2017
Last Updated
Jul 30, 2024

Practice Location

Address
3909 NEW VISION DR
State
Indiana
ZIP Code
46845-1725
Phone
(260) 425-5500

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner

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