Doctor Name: | GWENIVERE ELIZABETH GAY |
NPI Number: | 1124375316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NREMTP |
License Number: | 1000008 |
Business Practice Address: | 453 South Novacel Dr Fort Rucker, AL - 36362 |
Business Phone Number: | 2515189111 |
Business Fax Number: | |
Mailing Address: | 104 S Springview Dr, ENTERPRISE |
State: | AL |
Postal Code: | 363305060 |
Phone Number: | 2515189111 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2012 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146L00000X |
License Number: | 1000008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Paramedic |
Taxonomy Specialization: | |
Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |