Doctor Name: | NANCY GASPER |
NPI Number: | 1083679633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 04854-RX |
Business Practice Address: | 2001 Crocker Rd Suite 600 Westlake, OH - 441456966 |
Business Phone Number: | 4408715100 |
Business Fax Number: | |
Mailing Address: | 9639 Taberna Ln, OLMSTED TWP |
State: | OH |
Postal Code: | 441384260 |
Phone Number: | 4402358439 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 12/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 04854-RX |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |