Individual
LISA DAWN GASTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6890
(732) 923-6598
Mailing address
200 ANTEGO DR, ELKTON, MD 21921-2185
(732) 856-0919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15169800
NJ
363LF0000X
Family Nurse Practitioner
AC004405
MD
363LF0000X
Family Nurse Practitioner
LG-0001359
DE
363LF0000X
Family Nurse Practitioner
SP021652
PA
Other
Enumeration date
03/24/2020
Last updated
04/28/2025
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