SUSAN GATELEY A.P.N. NPI 1083684740

NPI Information

NPI: 1083684740
Provider Name: SUSAN GATELEY, A.P.N.
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
601 W MCKENNON ST
CLARKSVILLE, AR
ZIP 72830
Phone: (479) 754-8384
Get Directions

Susan Gateley, A.P.N. is a primary care nurse practitioner in Clarksville, AR. Susan Gateley, A.P.N. NPI is 1083684740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 W MCKENNON ST
CLARKSVILLE, AR
ZIP 72830-523
Phone: (479) 754-8384
Fax: (479) 754-7141

The enumeration date for this NPI number is 1/25/2006 and was last updated on 9/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	A01730	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	435205	OTHER	ARKANSAS	HEALTH LINK
2	150985758	MEDICAID	ARKANSAS
3	5U698	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD AR
4	Q02854	MEDICARE UPIN	ARKANSAS
5	020407900	OTHER	ARKANSAS	BLACK LUNG PROGRAM
6	0790780001	OTHER	ARKANSAS	PALMETTO GBA
7	5U6986716	MEDICARE PIN	ARKANSAS
8	0062731	OTHER	ARKANSAS	UMWA H&R FUNDS
9	XX12984	OTHER	ARKANSAS	HEALTH PLUS OF MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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