Doctor Name: | STEVEN M GAUZE |
NPI Number: | 1083613079 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | 3004341 |
Business Practice Address: | 2160 Blacklog Rd Suite 120 Inez, KY - 412249019 |
Business Phone Number: | 6062987405 |
Business Fax Number: | 6062983284 |
Mailing Address: | 2160 Blacklog Rd, Suite 120 INEZ |
State: | KY |
Postal Code: | 412249019 |
Phone Number: | 6062987405 |
Fax Number: | 6062983284 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 06/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | 3004341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |