Doctor Name: | MS. KATE ELIZABETH GAWLIK |
NPI Number: | 1578897443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 11009 |
Business Practice Address: | 95 E Main St West Jefferson, OH - 431621205 |
Business Phone Number: | 6148797100 |
Business Fax Number: | 6148797151 |
Mailing Address: | 95 E Main St, WEST JEFFERSON |
State: | OH |
Postal Code: | 431621205 |
Phone Number: | 6148797100 |
Fax Number: | 6148797151 |
NPI Enumeration Date: | 09/25/2009 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 11009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |