| Doctor Name: | MS. MARILYN GAY GADDY |
| NPI Number: | 1003128596 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN138954 |
| Business Practice Address: | 205 E Dakota Butler, MO - 64730 |
| Business Phone Number: | 6606794636 |
| Business Fax Number: | 6606764310 |
| Mailing Address: | 1800 Community Drive, CLINTON |
| State: | MO |
| Postal Code: | 64735 |
| Phone Number: | 6608858131 |
| Fax Number: | 6608853690 |
| NPI Enumeration Date: | 07/13/2010 |
| NPI Last Update Date: | 07/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN138954 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |