Doctor Name: | MS. LAUNA M GONSIOROSKI |
NPI Number: | 1013020734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | R024702 |
Business Practice Address: | 163 Van Buren Rd - Va Clinic Caribou, ME - 04736 |
Business Phone Number: | 2074983800 |
Business Fax Number: | |
Mailing Address: | 67 Griffin Ridge Rd, MAPLETON |
State: | ME |
Postal Code: | 04757 |
Phone Number: | 2077648026 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R024702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |