# NURSE PRACTITIONER CONSULTANTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104063619
- **Authorized official:** ROSEANNA GATEWOOD NP (OWNER)
- **Authorized official phone:** (812) 449-4164

## Contact information

- **Practice address:** 3700 WASHINGTON AVE, EVANSVILLE, IN 47714
- **Practice address phone:** (812) 491-1462
- **Mailing address:** PO BOX 3276, EVANSVILLE, IN 47731-3276
- **Mailing address phone:** (812) 473-0181
- **Mailing address fax:** (812) 473-5822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 09/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201341290A | — | IN |
| 05 | — | 7100398920 | — | KY |
| 01 | — | DW3283 | RAILROAD MEDICARE | IN |