NPI Profile for MADISON GERKE in FORT WAYNE, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical-Surgical |
163WM0705X | |||
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI # | 1295403517 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/01/2021 | |
| Last updated | 01/24/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MADISON GERKE
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