Doctor Name: | MS. GAYLE ANN CLAUSEN |
NPI Number: | 1134195746 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 3383 |
Business Practice Address: | 1830 Mesquite Ave Suite A Lake Havasu City, AZ - 864035885 |
Business Phone Number: | 9288558071 |
Business Fax Number: | 9288556869 |
Mailing Address: | 1830 Mesquite Ave, Suite A LAKE HAVASU CITY |
State: | AZ |
Postal Code: | 864035885 |
Phone Number: | 9288558071 |
Fax Number: | 9288556869 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 08/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 3383 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |