BRYAN KEITH GAUCK LPN NPI 1790550333

NPI Information

NPI: 1790550333
Provider Name: BRYAN KEITH GAUCK, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
4200 6TH AVE SE STE 201
LACEY, WA
ZIP 98503
Phone: (360) 459-8311
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Bryan Keith Gauck, LPN is a licensed practical nurse in Lacey, WA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Bryan Keith Gauck, LPN NPI is 1790550333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4200 6TH AVE SE STE 201
LACEY, WA
ZIP 98503-042
Phone: (360) 459-8311

The enumeration date for this NPI number is 11/22/2023 and was last updated on 11/22/2023.

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
1	164W00000X	Licensed Practical Nurse		2029637	KENTUCKY	Yes

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: 5/5/2024

NPI Synchronization or Removal

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