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Individual

ANDREW SCOTT GAUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, CRNP

Contact information

Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9600
Mailing address
551 MAIN ST, 3RD FLOOR, JOHNSTOWN, PA 15901-2032
(814) 539-5724
(814) 536-7092

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP009179
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP009179
CRNP MEDICAL LICENSE
PA
Enumeration date
11/21/2006
Last updated
07/08/2007
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