Individual
MRS. JOAN MORRISSEY GAUTREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7233
CA
363LF0000X
Family Nurse Practitioner
ARNP 9190624
FL
363LP0200X
Pediatric Nurse Practitioner
7233
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9190624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306405100
—
FL
Enumeration date
09/21/2006
Last updated
01/04/2013
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