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Organization

NURSE PRACTITIONER CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSEANNA GATEWOOD NP (OWNER)
(812) 449-4164
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201341290A
IN
05
7100398920
KY
01
DW3283
RAILROAD MEDICARE
IN
Enumeration date
01/21/2009
Last updated
09/19/2018
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