Individual provider · Type 1 NPI
Madison Gerke
Medical-Surgical Registered Nurse · Fort Wayne, IN
NPI number
1295403517
Active
Practice location
9144 Strathmore Ln
Fort Wayne, IN 46818-8457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 28251955A (IN) |
| Adult Health Nurse Practitioner | 363LA2200X | 28251955A (IN) |
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 28251955A (IN) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1295403517
Madison Gerke's National Provider Identifier is 1295403517, issued on Sep 1, 2021. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 24, 2024.