Crough, Gayle M

Crough, Gayle M is an individual health care provider with primary practice located at 10058 Wolf Road , Grass Valley CA 95949. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Crough, Gayle M can be contacted via phone (530) 745-1500.

Contact Information

Primary practice address
10058 Wolf Road Grass Valley CA 95949
Phone: (530) 745-1500
Fax: (530) 745-1505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP11157 California

Profile Details

NPI number 1700997681
LBN Legal business name Crough, Gayle M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 24th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700997681 NPPES
California MEDICAID RN298918

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