Doctor Name: | MRS. ROXANE GATES |
NPI Number: | 1720252778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 2008000901 |
Business Practice Address: | 148 Main St Wintersville, OH - 439533734 |
Business Phone Number: | 7403462702 |
Business Fax Number: | 7403462645 |
Mailing Address: | 380 Summit Ave, Mso Physician Billing STEUBENVILLE |
State: | OH |
Postal Code: | 439522667 |
Phone Number: | 7402837597 |
Fax Number: | 7402837608 |
NPI Enumeration Date: | 04/21/2008 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2008000901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |