Gault, Renee

Gault, Renee is an individual health care provider with primary practice located at 444 Hospital Way Ste 477 , Pocatello ID 83201-2744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gault, Renee can be contacted via phone (208) 233-7832.

Contact Information

Primary practice address
444 Hospital Way Ste 477 Pocatello ID 83201-2744
Phone: (208) 233-7832
Fax: (208) 233-7835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 59582 Idaho

Profile Details

NPI number 1912489980
LBN Legal business name Gault, Renee
Credentials DNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2018
Last updated Nov 21st, 2018 - about 6 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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