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Individual

KATIE KRISTEN GAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-4545
(614) 722-4575
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.023653
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0493785
OH
Enumeration date
04/01/2019
Last updated
04/11/2025
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