| Doctor Name: | LINDSEY GAUDERER |
| NPI Number: | 1477936961 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 357711.1409 |
| Business Practice Address: | 29 Black Coal Dr Fort Washakie, WY - 82514 |
| Business Phone Number: | 3073327300 |
| Business Fax Number: | |
| Mailing Address: | 415 S 7th St, LANDER |
| State: | WY |
| Postal Code: | 825203215 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2015 |
| NPI Last Update Date: | 07/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 357711.1409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |