Individual
SUSAN R GASQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
14821 DAYTON PIKE, STE B, SALE CREEK, TN 37373-5752
(423) 497-5070
Mailing address
30 BURTON HILLS BLVD, STE 175, NASHVILLE, TN 37215-6403
(615) 988-2014
(615) 208-1303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1083187
AL
363L00000X
Nurse Practitioner
Primary
12850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326373861
GROUP NPI
AL
Enumeration date
09/25/2006
Last updated
11/11/2021
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