Individual
SHELLEY GASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
94 BAY FRONT LN, PORT LAVACA, TX 77979-2704
(361) 648-0321
(361) 648-0321
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
347573
NY
363LF0000X
Family Nurse Practitioner
ARNP9456214
FL
Other
Enumeration date
08/16/2017
Last updated
06/04/2021
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