Healthcare Provider Details

I. General information

NPI: 1831034149
Provider Name (Legal Business Name): N GAUGER, NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LAWRENCE ST STE 1A
GLENS FALLS NY
12801-4004
US

IV. Provider business mailing address

1 LAWRENCE ST STE 1A
GLENS FALLS NY
12801-4004
US

V. Phone/Fax

Practice location:
  • Phone: 518-375-3948
  • Fax: 518-620-1381
Mailing address:
  • Phone: 518-375-3948
  • Fax: 518-620-1381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NICOLE GAUGER
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 716-515-5220