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NPI Code Detail

MEDICARE: MRS. GRETCHEN M. GAUS CRNA

MEDICARE: MRS. GRETCHEN M. GAUS CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN 264697LPA
2367500000XCertified Registered Nurse AnesthetistAPRN.CRNA.019932OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4050514OTHERPAMEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1253403OTHERPAUNISON
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3RN264697LOTHERPARN LICENSE
525-1716306OTHERPAHEALTHNET/TRICARE
6120420418OTHERPADEPT OF LABOR
725-1716306OTHERPAFIRST HEALTH
8PEARLOTHERPAHEALTH AMERICA
950073150OTHERPACAPITAL BLUECROSS

General Provider Information

NPI Number : 1336132109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GRETCHEN M. GAUS CRNA
Provider Business Mailing Address
First Line : 785 5TH AVE STE 3
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-4232
Country : US
Telephone Number : 717-263-9555
Fax Number : 717-217-4217
Provider Business Practice Location Address
First Line : 112 NORTH SEVENTH STREET
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-1720
Country : US
Telephone Number : 717-267-3000
Fax Number : 717-217-4217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 03/06/2026

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