Doctor Name: | GLORIA JEANE TATSAPAUGH |
NPI Number: | 1063504934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 302509 |
Business Practice Address: | 3174 Route 22 Hudson River Healthcare, Inc. Dover Plains, NY - 125225924 |
Business Phone Number: | 8458774793 |
Business Fax Number: | 8458779212 |
Mailing Address: | 1037 Main St, Credentialing Dept. PEEKSKILL |
State: | NY |
Postal Code: | 105662913 |
Phone Number: | 9147348858 |
Fax Number: | 9147348786 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 302509 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |