Individual provider · Type 1 NPI
Anita Marie Gautreaux
Medical-Surgical Registered Nurse · Gallup, NM
NPI number
1750955811
Active
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
22574 3rd St
Mandeville, LA 70471-7950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 140234 (LA) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1750955811
Anita Marie Gautreaux's National Provider Identifier is 1750955811, issued on May 13, 2021. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Gallup, NM. The record was last updated on May 13, 2021.