MEDICARE: MRS. MICHELLE GAUTHIER 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
1	367500000X	Certified Registered Nurse Anesthetist	ARNP9333984	FL
2	171000000X	Military Health Care Provider	9333984	FL
3	171000000X	Military Health Care Provider	041448-23	NH

General Provider Information

NPI Number	:	1487641643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE GAUTHIER CRNA

Provider Business Mailing Address
First Line	:	307 BOATNER RD
Second Line	:
City	:	EGLIN AFB
State	:	FL
Zip	:	32542-1302
Country	:	US
Telephone Number	:	850-883-8132
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 BOATNER RD
Second Line	:
City	:	EGLIN AFB
State	:	FL
Zip	:	32542-1302
Country	:	US
Telephone Number	:	850-883-8132
Fax Number	:

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	04/22/2013

Similar Medicare Providers

1558890590 — DR. SHALEASE SAWYER DO
Practice Location Address:

307 BOATNER RD
EGLIN AFB, FL
32542-1302

Practice Phone: 850-883-8600
Practice Fax:

1518547561 — CHLOE FORLINI MD
Practice Location Address:

307 BOATNER RD STE 114
EGLIN AFB, FL
32542-1302

Practice Phone: 850-883-8600
Practice Fax:

1518951177 — MS. LENORA STANLEY ARNP
Practice Location Address:

307 BOATNER RD , SUTIE 114
EGLIN AFB, FL
32542-1302

Practice Phone: 850-883-8891
Practice Fax: 850-883-8057

1952390544 — CRYSTAL EARL PRICE PHARMD
Practice Location Address:

307 BOATNER RD STE 114
EGLIN AFB, FL
32542-1302

Practice Phone: 850-883-8600
Practice Fax:

1194714162 — DR. JAMISON WENDELL ELDER M.D.
Practice Location Address:

307 BOATNER RD
EGLIN AFB, FL
32542-1302

Practice Phone: 803-840-0825
Practice Fax:

1245220243 — THOMAS L. WILLIAMS PA-C
Practice Location Address:

307 BOATNER RD
EGLIN AFB, FL
32542-1302

Practice Phone: 850-883-8349
Practice Fax: 850-883-8247

Directions to “ MRS. MICHELLE GAUTHIER CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.