Doctor Name: | MRS. JOAN MORRISSEY GAUTREAU |
NPI Number: | 1154420750 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP 9190624 |
Business Practice Address: | 3573 Sw Corporate Pkwy Palm City, FL - 349908153 |
Business Phone Number: | 7722835431 |
Business Fax Number: | 7722835471 |
Mailing Address: | 9025 Sw Sawgrass Way, PALM CITY |
State: | FL |
Postal Code: | 349904105 |
Phone Number: | 7724865174 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 01/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP 9190624 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |