MEDICARE: CAROLINE GARRISON GATSCH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	133NN1002X	Nutrition Education Nutritionist
2	174N00000X	Lactation Consultant (Non-RN)
3	253Z00000X	In Home Supportive Care Agency
4	374J00000X	Doula
5	374U00000X	Home Health Aide
6	174H00000X	Health Educator

General Provider Information

NPI Number	:	1003408774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE GARRISON GATSCH

Provider Business Mailing Address
First Line	:	3657 KILKENNY DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-4444
Country	:	US
Telephone Number	:	614-620-2676
Fax Number	:

Provider Business Practice Location Address
First Line	:	3657 KILKENNY DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-4444
Country	:	US
Telephone Number	:	614-620-2676
Fax Number	:

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

Provider Enumeration Date	:	02/04/2021
Last Update Date	:	02/04/2021

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