MEDICARE: AUDRA ELIZABETH GERVAIS CLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1851708747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDRA ELIZABETH GERVAIS CLC

Provider Business Mailing Address
First Line	:	PO BOX 1667
Second Line	:
City	:	HAVRE
State	:	MT
Zip	:	59501-1667
Country	:	US
Telephone Number	:	406-380-2118
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 2ND AVE N
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3217
Country	:	US
Telephone Number	:	406-380-2118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2014
Last Update Date	:	07/13/2014

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1538133368 — DR. ROBERT J HEATH
Practice Location Address:

3217 S CAROLYN AVE
SIOUX FALLS, SD
57106-0744

Practice Phone: 605-362-7997
Practice Fax:

1457410326 — MR. KENNETH A BUDKE DDS
Practice Location Address:

3217 CEDAR HEIGHTS DRIVE
CEDAR FALLS, IA
50613

Practice Phone: 319-277-6921
Practice Fax: 319-859-2007

1730356189 — FOOT SURGICAL CENTER, P.C.
Practice Location Address:

3217 S CAROLYN AVE
SIOUX FALLS, SD
57106-0744

Practice Phone: 605-362-7997
Practice Fax: 605-362-7930

1932362886 — DR. LINDSEY MARIE VORE DDS
Practice Location Address:

3217 CEDAR HEIGHTS DR
CEDAR FALLS, IA
50613-6039

Practice Phone: 319-277-6921
Practice Fax:

1740439843 — DR. BRIAN MICHAEL ANDERSEN D.D.S.
Practice Location Address:

3217 CEDAR HEIGHTS DR
CEDAR FALLS, IA
50613-6039

Practice Phone: 319-277-6921
Practice Fax:

Directions to “ AUDRA ELIZABETH GERVAIS CLC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.