MEDICARE: ROBERT LLOYD GAUNT F.N.P.

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	363LF0000X	Family Nurse Practitioner	TAP4759	KY

General Provider Information

NPI Number	:	1730423120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LLOYD GAUNT F.N.P.

Provider Business Mailing Address
First Line	:	619 FAIRFIELD DR
Second Line	:
City	:	FLUSHING
State	:	MI
Zip	:	48433-1417
Country	:	US
Telephone Number	:	480-689-1020
Fax Number	:

Provider Business Practice Location Address
First Line	:	506 N FRANKLIN ST
Second Line	:
City	:	FRANKENMUTH
State	:	MI
Zip	:	48734-1000
Country	:	US
Telephone Number	:	989-652-9410
Fax Number	:

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

Provider Enumeration Date	:	11/26/2012
Last Update Date	:	07/31/2023

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