| Doctor Name: | ANDREA GATLIN |
| NPI Number: | 1497118384 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R0065394 |
| Business Practice Address: | 19 Lakes St Colville Service Unit Nespelem, WA - 99155 |
| Business Phone Number: | 5096342900 |
| Business Fax Number: | |
| Mailing Address: | Po Box 71, NESPELEM |
| State: | WA |
| Postal Code: | 991550071 |
| Phone Number: | 5096342900 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2016 |
| NPI Last Update Date: | 03/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | R0065394 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |