Individual
CELESTE RAMONA GAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4091 SHERRI LN, FORT MILL, SC 29715-8390
(803) 917-7878
Mailing address
4091 SHERRI LN, FORT MILL, SC 29715-8390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5011766
NC
363LF0000X
Family Nurse Practitioner
Primary
APN22099
SC
Other
Enumeration date
01/22/2019
Last updated
06/03/2019
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