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Individual

MS. MARY KATHERINE GAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
21748 ROTH AVE, GEORGETOWN, DE 19947-3239
(800) 461-8262
(302) 633-5379
Mailing address
1601 KIRKWOOD HWY, WILMINGTON, DE 19805-4917
(800) 461-8262
(302) 633-5379

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
LP-0010565
DE
363LA2200X
Adult Health Nurse Practitioner
Primary
R157914
MD

Other

Enumeration date
04/23/2007
Last updated
02/15/2024
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