Individual provider · Type 1 NPI

Olivia Marie Gause, PA-C

Medical Physician Assistant · Raleigh, NC

NPI number 1104441922 Active

Practice location

2920 Forestville Rd Ste 100
Raleigh, NC 27616-8774

Call (860) 882-7525 Map

Mailing address

1755 8th Street Dr NE Apt D
Hickory, NC 28601-2341

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-11385 (NC)
Medical Physician Assistant Primary 363AM0700X0010-11385 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1104441922

Olivia Marie Gause, PA-C's National Provider Identifier is 1104441922, issued on Jun 8, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Dec 1, 2025.