Robert W Gantz in Tacoma - Nurse Practitioner
Robert W Gantz - NPI 1730103359
Robert W Gantz is a Nurse Practitioner in Tacoma, Washington. Robert W Gantz practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Robert W Gantz is 1730103359. The last update date is 2012-08-06.
Robert W Gantz's current location address is 419 S L St, Tacoma, Washington. You can contact this provider via phone number 2534038410. The mailing address for Robert W Gantz is 419 S L St, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert W Gantz |
|---|---|
| Address | 419 S L St, Tacoma, Washington |
| Phone Number | 2534038410 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARPN |
NPI Number Detail
| NPI Number | 1730103359 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2012-08-06 |
Provider Mailing Address Detail
| Address | 419 S L St |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984053799 |
| Phone Number | 2534038410 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 110790 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200632670A | KS | -- | |
| 38767 | NE | BCBS |
Post Comment/ Review Below
What is the Robert W Gantz's 1730103359?
The Robert W Gantz's NPI (National Provider Identifier) Number is 1730103359. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Robert W Gantz's physical address?
The Robert W Gantz is physically located at 419 S L St, in the city of Tacoma, WA, with the postal code 984053799.
What is Robert W Gantz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert W Gantz's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When was the Robert W Gantz's 1730103359 issued?
The Robert W Gantz's 1730103359 was issued on 2006-07-27.
When was the information regarding Robert W Gantz most recently updated?
The details pertaining to the Robert W Gantz, including its address, specialty, and other relevant information, were last refreshed on 2012-08-06.