Individual
PETE-GAYE V. NATION
Active
Individual
PETE-GAYE V. NATION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101247493
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-017
TRICARE/CHAMPUS
VA
01
—
10064688
OPTIMA HEALTH
VA
05
—
1316102577
—
VA
01
—
409486
ANTHEM BC/BS
VA
05
—
5915479
—
NC
01
—
PAR
VIRGINIA PREMIER HEALTH PLAN
VA
Enumeration date
07/26/2008
Last updated
02/10/2011
Update your record
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