Mrs. Lensa Gideon Girsha
Nurse Practitioner - Adult Health
417 S Whitlock St
Bremen
, Indiana 46506-1626
Mrs. Lensa Gideon Girsha
Nurse Practitioner - Adult Health
417 S Whitlock St
Bremen
, Indiana 46506-1626
(574) 335-0750
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Lensa Gideon Girsha
- 707 E Cedar St Ste 200
- South Bend, IN
- Zip : 46617-2057
- Fax : (574) 335-0750
- Phone : (574) 335-8707
Second Address
- Mrs. Lensa Gideon Girsha
- 417 S Whitlock St
- Bremen, IN
- Zip : 46506-1626
- Phone : (574) 546-3730
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 28163955A | IN |
National Provider Identifier
| NPI | 1013242080 |
|---|---|
| Provider Name | Mrs. Lensa Gideon Girsha |
| First Address | South Bend, IN 46617-2057 |
| Second Address | Bremen, IN 46506-1626 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/10/2009 |
| Last Update Date | 04/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201253250 | (05) | 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.