| Doctor Name: | MRS. MICHELLE GAUTHIER |
| NPI Number: | 1487641643 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNA |
| License Number: | 9333984 |
| Business Practice Address: | 307 Boatner Rd Eglin Afb, FL - 325421302 |
| Business Phone Number: | 8508838132 |
| Business Fax Number: | |
| Mailing Address: | 307 Boatner Rd, EGLIN AFB |
| State: | FL |
| Postal Code: | 325421302 |
| Phone Number: | 8508838132 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2005 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 9333984 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |