Doctor Name: | ROSEANNA L PARKHURST GATEWOOD |
NPI Number: | 1023051141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 71000457A |
Business Practice Address: | 1116 Millis Ave Boonville, IN - 476012204 |
Business Phone Number: | 8128977440 |
Business Fax Number: | 8128977444 |
Mailing Address: | Po Box 3276, EVANSVILLE |
State: | IN |
Postal Code: | 477313276 |
Phone Number: | 8124710181 |
Fax Number: | 8124735822 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71000457A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |