Individual
DANIEL JAMES GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
8074 W MISSION LN, PEORIA, AZ 85345-4815
(602) 281-5927
Mailing address
8074 W MISSION LN, PEORIA, AZ 85345-4815
(602) 281-5927
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
305142
AZ
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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