Doctor Name: | MRS. JUANITA M GATZ |
NPI Number: | 1194092262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 53-74231-082 |
Business Practice Address: | 350 S Range Ave Suite 2 Colby, KS - 677012958 |
Business Phone Number: | 7854604596 |
Business Fax Number: | 7854604595 |
Mailing Address: | 350 S Range Ave, Suite 2 COLBY |
State: | KS |
Postal Code: | 677012958 |
Phone Number: | 7854604596 |
Fax Number: | 7854604595 |
NPI Enumeration Date: | 11/17/2011 |
NPI Last Update Date: | 11/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SC1501X |
License Number: | 53-74231-082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Community Health/Public Health |
Taxonomy Definition: |