Gina M. Connolly
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
100 Navarre Pl Ste 6600
South Bend
, Indiana 46601-1173
Gina M. Connolly
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
100 Navarre Pl Ste 6600
South Bend
, Indiana 46601-1173
(574) 237-6069
Write a Review Share Save Call
About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Gina M. Connolly
- 710 N Niles Ave
- South Bend, IN
- Zip : 46617-1924
- Fax : (574) 237-6069
- Phone : (574) 647-1610
Second Address
- Gina M. Connolly
- 100 Navarre Pl Ste 6600
- South Bend, IN
- Zip : 46601-1173
- Fax : (574) 647-8811
- Phone : (574) 647-8800
Reviews
FAQs
Where did Gina M. Connolly attend graduate school?
Where did Gina M. Connolly do her residency?
Where did Gina M. Connolly do her fellowship?
Is Gina M. Connolly board certified?
What type of doctor is Gina M. Connolly
In what state does Gina M. Connolly practice in?
Where is Gina M. Connolly ’s practice located?
What is Gina M. Connolly ’s gender?
Is Gina M. Connolly a sole practitioner?
Is Gina M. Connolly accepting new patients?
What languages does Gina M. Connolly speak?
Does Gina M. Connolly accept insurance?
Does Gina M. Connolly offers telemedicine?
What is Gina M. Connolly ’s professional license number?
What is Gina M. Connolly ’s NPI number?
Does Gina M. Connolly have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 71004080A | IN |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 71004080A | IN |
National Provider Identifier
| NPI | 1023364262 |
|---|---|
| Provider Name | Gina M. Connolly |
| First Address | South Bend, IN 46617-1924 |
| Second Address | South Bend, IN 46601-1173 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2012 |
| Last Update Date | 31/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 061570001 | (02) | IN |
| 201090780 | (05) | IN |
| 327270010 | MEDICARE PTAN (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.