Organization · Type 2 NPI
Gachugu Medical Clinic
Nurse Practitioner · Wood River, IL
Practice location
1 E Ferguson Ave
Wood River, IL 62095-1903
Fax (618) 251-8140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1003414442
Gachugu Medical Clinic's National Provider Identifier is 1003414442, issued on Oct 16, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wood River, IL. The record was last updated on Oct 23, 2020.