Gautreau, Joan Morrissey

Gautreau, Joan Morrissey is an sole proprietor health care provider with primary practice located at 3573 Sw Corporate Pkwy , Palm City FL 34990-8153. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gautreau, Joan Morrissey can be contacted via phone (772) 283-5431.

Contact Information

Primary practice address
3573 Sw Corporate Pkwy Palm City FL 34990-8153
Phone: (772) 283-5431
Fax: (772) 283-5471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9190624 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9190624 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 7233 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7233 California

Profile Details

NPI number 1154420750
LBN Legal business name Gautreau, Joan Morrissey
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jan 4th, 2013 - about 13 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 1154420750 NPPES
Florida MEDICAID 306405100

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