Mrs. Kristie Lee Gauck
Nurse Practitioner - Family Medicine
5745 Cloverdale Rd
Hurlock
, Maryland 21643-3025
Mrs. Kristie Lee Gauck
Nurse Practitioner - Family Medicine
5745 Cloverdale Rd
Hurlock
, Maryland 21643-3025
(410) 943-3275
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Kristie Lee Gauck
- 5745 Cloverdale Rd
- Hurlock, MD
- Zip : 21643-3025
- Phone : (410) 943-3275
Second Address
- Mrs. Kristie Lee Gauck
- 5745 Cloverdale Rd
- Hurlock, MD
- Zip : 21643-3025
- Phone : (410) 943-3275
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | R162150 | MD |
National Provider Identifier
| NPI | 1003122649 |
|---|---|
| Provider Name | Mrs. Kristie Lee Gauck |
| First Address | Hurlock, MD 21643-3025 |
| Second Address | Hurlock, MD 21643-3025 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2010 |
| Last Update Date | 20/08/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.