Gavaras, Elaine

Gavaras, Elaine is an individual health care provider with primary practice located at 3003 University Dr , Marinette WI 54143. 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. Gavaras, Elaine can be contacted via phone (715) 735-4200.

Contact Information

Primary practice address
3003 University Dr Marinette WI 54143
Phone: (715) 735-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 84586 Wisconsin

Profile Details

NPI number 1518054030
LBN Legal business name Gavaras, Elaine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Aug 6th, 2018 - about 8 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 1518054030 NPPES
Wisconsin MEDICAID 41251600
Wisconsin MEDICAID 104701210

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