Healthcare Provider Details

I. General information

NPI: 1689501322
Provider Name (Legal Business Name): NICHOLAS DAVID GATTO NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 W HEALTH CENTER DR
NAGS HEAD NC
27959-8943
US

IV. Provider business mailing address

130 CHURCH AVE SW
ROANOKE VA
24011-1906
US

V. Phone/Fax

Practice location:
  • Phone: 252-441-3116
  • Fax:
Mailing address:
  • Phone: 540-769-3964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberSP035712
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: