Gautier, Debra S

Gautier, Debra S is an sole proprietor health care provider with primary practice located at 3407 Shamrock Ct , Gautier MS 39553-5337. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gautier, Debra S can be contacted via phone (228) 497-0690.

Contact Information

Primary practice address
3407 Shamrock Ct Gautier MS 39553-5337
Phone: (228) 497-0690
Fax: (228) 497-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R146270 Mississippi

Profile Details

NPI number 1831625854
LBN Legal business name Gautier, Debra S
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 9 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 1831625854 NPPES
Mississippi MEDICAID 00018214

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