Individual
ANDREW GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2727 HOLLYCROFT ST, GIG HARBOR, WA 98335-1305
(253) 252-1356
Mailing address
2727 HOLLYCROFT ST, GIG HARBOR, WA 98335-1305
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
27622
TN
363LA2100X
Acute Care Nurse Practitioner
AP61186242
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61186242
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189401
—
WA
Enumeration date
07/01/2021
Last updated
02/19/2026
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