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NPI Code Detail

MEDICARE: MS. JUANITA GAUSS R.N.

MEDICARE: MS. JUANITA GAUSS R.N.
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
1163WC1500XCommunity Health Registered Nurse082691MO

General Provider Information

NPI Number : 1306935598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUANITA GAUSS R.N.
Provider Business Mailing Address
First Line : DCO 168TH MED BN
Second Line : UNIT 15021 BOX A38
City : APO
State : AP
Zip : 96218
Country : KR
Telephone Number : 7644819
Fax Number :
Provider Business Practice Location Address
First Line : DCO 168TH MED BN
Second Line : UNIT 15021 BOX A38
City : APO
State : AP
Zip : 96218
Country : KR
Telephone Number : 7644819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/21/2022

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