Timothy Robert La Gasse
Nurse Practitioner - Acute Care
401 Connable Ave
Petoskey
, Michigan 49770
Timothy Robert La Gasse
Nurse Practitioner - Acute Care
401 Connable Ave
Petoskey
, Michigan 49770
(231) 535-6067
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Timothy Robert La Gasse
- Po Box 185
- Walloon Lake, MI
- Zip : 49796-0185
- Phone : (231) 535-6067
Second Address
- Timothy Robert La Gasse
- 401 Connable Ave
- Petoskey, MI
- Zip : 49770
- Phone : (231) 487-4520
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 4704249602 | MI |
National Provider Identifier
| NPI | 1013424191 |
|---|---|
| Provider Name | Timothy Robert La Gasse |
| First Address | Walloon Lake, MI 49796-0185 |
| Second Address | Petoskey, MI 49770 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2018 |
| Last Update Date | 10/01/2018 |
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.