Kathy Gavin is a Nurse Practitioner in Ponderay, Idaho. Kathy Gavin practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kathy Gavin is 1770598559. The last update date is 2007-12-13.
Kathy Gavin's current location address is 30410 Highway 200, Ponderay, Idaho. You can contact this provider via phone number 2082631345 and fax number 2082555531. The mailing address for Kathy Gavin is 30410 Highway 200, Ponderay, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy Gavin |
|---|---|
| Address | 30410 Highway 200, Ponderay, Idaho |
| Phone Number | 2082631345 |
| Fax Number | 2082555531 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1770598559 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2007-12-13 |
Provider Mailing Address Detail
| Address | 30410 Highway 200 |
|---|---|
| City | Ponderay |
| State | Idaho (ID) |
| Post Code | 838529601 |
| Phone Number | 2082631345 |
| Fax Number | 2082555531 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP-257A |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Post Comment/ Review Below
What is the Kathy Gavin's 1770598559?
The Kathy Gavin's NPI (National Provider Identifier) Number is 1770598559. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kathy Gavin is physically located?
The Kathy Gavin is situated at the following address: 30410 Highway 200, Ponderay, ID 838529601.
What is Kathy Gavin's area of expertise and its corresponding taxonomy classification?
The Kathy Gavin's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kathy Gavin receive its 1770598559 assignment from the Centers for Medicare & Medicaid Services?
The Kathy Gavin was assigned its 1770598559 by the Centers for Medicare & Medicaid Services on 2006-07-30.
As of what date was the information regarding Kathy Gavin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathy Gavin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-13.
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