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MRS. JOAN MORRISSEY GAUTREAU ARNP NPI 1154420750


NPI Information

NPI: 1154420750
Provider Name: MRS. JOAN MORRISSEY GAUTREAU, ARNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3573 SW CORPORATE PKWY
PALM CITY, FL
ZIP 34990
Phone: (772) 283-5431
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MRS. Joan Morrissey Gautreau, ARNP is a pediatrics nurse practitioner in Palm City, FL. MRS. Joan Morrissey Gautreau, ARNP NPI is 1154420750. 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:

3573 SW CORPORATE PKWY
PALM CITY, FL
ZIP 34990-153
Phone: (772) 283-5431
Fax: (772) 283-5471

The enumeration date for this NPI number is 9/21/2006 and was last updated on 1/4/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyARNP 9190624FLORIDANo
2363LP0200XNurse PractitionerPediatrics7233CALIFORNIANo
3363LF0000XNurse PractitionerFamily7233CALIFORNIANo
4363LP0200XNurse PractitionerPediatricsARNP9190624FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1306405100MEDICAIDFLORIDA
2EE662ZMEDICARE UPINFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.