Individual provider · Type 1 NPI

Brenda Gonzalez

Student in an Organized Health Care Education/Training Program · South Bend, IN

NPI number 1356189112 Active

Practice location

714 N Michigan St
South Bend, IN 46601-1035

Call (574) 647-7477 Map

Fax (574) 647-6819

Mailing address

340 W 10th St
Indianapolis, IN 46202-3082

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356189112

Brenda Gonzalez's National Provider Identifier is 1356189112, issued on Jul 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Bend, IN. The record was last updated on Apr 22, 2026.