Individual provider · Type 1 NPI
Carole Lynn Gathman, RN
Addiction (Substance Use Disorder) Registered Nurse · Coto De Caza, CA
NPI number
1649455874
Active
Practice location
11 Lilac Ln, Suite 108
Coto De Caza, CA 92679-4951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 041170329 (IL) |
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 799856 (CA) |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 041-170329 (IL) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
About NPI 1649455874
Carole Lynn Gathman, RN's National Provider Identifier is 1649455874, issued on Jan 7, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Coto De Caza, CA. The record was last updated on May 5, 2014.