MEDICARE: DANIELLE MARIE GAUCHER CRNP

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	363LW0102X	Women's Health Nurse Practitioner	1-122297	AL
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	1-122297	AL
3	207VM0101X	Maternal & Fetal Medicine Physician	1-122297	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	104942551	OTHER	AL	NATIONAL CERTIFICATION CORPORATION
2	1-122297	OTHER	AL	ALABAMA BOARD OF NURSING

General Provider Information

NPI Number	:	1124885454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE MARIE GAUCHER CRNP

Provider Business Mailing Address
First Line	:	PO BOX 21595
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4112
Country	:	US
Telephone Number	:	251-318-2678
Fax Number	:	251-405-9900

Provider Business Practice Location Address
First Line	:	3290 DAUPHIN ST STE 200
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36606-4014
Country	:	US
Telephone Number	:	251-361-2595
Fax Number	:	251-391-2596

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

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	02/05/2026

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Directions to “ DANIELLE MARIE GAUCHER CRNP” Practice Location

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