=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497805345
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GAIL ELIZABETH MCNAUGHTON FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/11/2007
-----------------------------------------------------
Last Update Date | 02/03/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3010 SQUALICUM PKWY
-----------------------------------------------------
City | BELLINGHAM
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98225-1938
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-676-1693
-----------------------------------------------------
Fax | 360-676-5458
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3010 SQUALICUM PKWY
-----------------------------------------------------
City | BELLINGHAM
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98225-1938
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-676-1693
-----------------------------------------------------
Fax | 360-676-5458
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | AP60356511
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------