Individual provider · Type 1 NPI
Michelle L. Gauntlett, PA-C
Medical Physician Assistant · Old Forge, PA
NPI number
1487908950
Active
Practice location
821 S Main St, SUITE3
Old Forge, PA 18518-1497
Fax (570) 457-0603
Mailing address
650 Main St
Avoca, PA 18641-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | OA001000 (PA) |
Medical Physician Assistant: Definition to come...
6 other providers at this address
- Capitano Pharmaceutical Services IncCommunity/Retail Pharmacy Old Forge, PA NPI 1477636421
- JL Slocum LLCCommunity/Retail Pharmacy Old Forge, PA NPI 1306212444
- Marianne J. Santioni, D.o., PCRheumatology Physician Old Forge, PA NPI 1487822573
- Michael A Jalowiec Do PCInternal Medicine Physician Old Forge, PA NPI 1790803302
- David J. Chromey, DPMFoot & Ankle Surgery Podiatrist Old Forge, PA NPI 1558307785
- Marianne J. Santioni, DORheumatology Physician Old Forge, PA NPI 1205868668
About NPI 1487908950
Michelle L. Gauntlett, PA-C's National Provider Identifier is 1487908950, issued on Nov 5, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Old Forge, PA. The record was last updated on Jan 7, 2022.