Doctor Name: | GAYLE DARLENE CLAUS |
NPI Number: | 1013245794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 1112 |
Business Practice Address: | 4300 Bartlett St Homer, AK - 996037005 |
Business Phone Number: | 9072350382 |
Business Fax Number: | 9072350281 |
Mailing Address: | Po Box 15241, FRITZ CREEK |
State: | AK |
Postal Code: | 996036241 |
Phone Number: | 9072356832 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2009 |
NPI Last Update Date: | 03/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |