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SHALEENA GATES
Family Nurse Practitioner
NPI: 1700553906Individual
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
28191934A(IN)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
71011666A(IN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 2640 HAMSTROM RD
PORTAGE, IN 46368 - Phone
- (197) 624-4232
Quick Facts
- NPI
- 1700553906
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 6
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