Individual provider · Type 1 NPI
Timothy Robert La Gasse, NP
Acute Care Nurse Practitioner · Petoskey, MI
NPI number
1013424191
Active
Practice location
401 Connable Ave
Petoskey, MI 49770
Mailing address
PO Box 185
Walloon Lake, MI 49796-0185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704249602 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1013424191
Timothy Robert La Gasse, NP's National Provider Identifier is 1013424191, issued on Jan 10, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Petoskey, MI. The record was last updated on Jan 10, 2018.