REBECCA GAIDOSH NPI 1710819339

NPI Information

  • NPI: 1710819339
  • Provider Name: REBECCA GAIDOSH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4172 SW RAGEN ST
    PORT ST LUCIE, FL
    ZIP 34953
  • Phone: (561) 889-6608

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NPI Details

Rebecca Gaidosh is a psychiatric/mental health nurse practitioner in Port St Lucie, FL. Rebecca Gaidosh NPI is 1710819339. 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:

4172 SW RAGEN ST
PORT ST LUCIE, FL
ZIP 34953-258
Phone: (561) 889-6608

The enumeration date for this NPI number is 5/29/2026 and was last updated on 5/29/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11047875FLORIDAYes

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: 11/21/2025

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