Provider Demographics
NPI:1689415218
Name:GERWELS, MARGARET ANN (FNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:GERWELS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10241 ARCADIAN CT
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-6037
Mailing Address - Country:US
Mailing Address - Phone:574-514-3678
Mailing Address - Fax:
Practice Address - Street 1:10241 ARCADIAN CT
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-6037
Practice Address - Country:US
Practice Address - Phone:574-514-3678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28157325A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine