Individual provider · Type 1 NPI

Heather Gordy, NP

Family Nurse Practitioner · Mishawaka, IN

NPI number 1417619982 Active

Practice location

611 E Douglas Rd Ste 200
Mishawaka, IN 46545-1465

Fax (574) 335-0849

Mailing address

707 Cedar St Ste 405
South Bend, IN 46617-2059

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71012042A (IN)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1417619982

Heather Gordy, NP's National Provider Identifier is 1417619982, issued on Oct 12, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mishawaka, IN. The record was last updated on Nov 9, 2023.