Gastauer, Ellen Garner

Gastauer, Ellen Garner is an individual health care provider with primary practice located at 11937 Us Highway 271 , Tyler TX 75708-3154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gastauer, Ellen Garner can be contacted via phone (903) 877-7777.

Contact Information

Primary practice address
11937 Us Highway 271 Tyler TX 75708-3154
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 720673 Texas

Profile Details

NPI number 1770697344
LBN Legal business name Gastauer, Ellen Garner
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Nov 30th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770697344 NPPES
Texas Other 720673 NURSE PRACTITIONER LICENS

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