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Ellen Garner Gastauer, ANP
Adult Health Nurse Practitioner in Tyler, Texas
NPI 1770697344

Ellen Garner Gastauer is an Adult Health Nurse Practitioner based in Dallas, TX and is specialized in Adult Health. Ellen Garner Gastauer practices in Tyler, TX and has the professional credentials of ANP. The NPI Number for Ellen Garner Gastauer is 1770697344 and holds a License No. 720673 (Texas).

The current practice location address for Ellen Garner Gastauer is 11937 Us Highway 271, Tyler, TX and can be reached out via phone at 903-877-7777.

Location: 11937 Us Highway 271, Tyler, TX, 75373-1912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770697344
Provider Name
Ellen Garner Gastauer
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
11937 Us Highway 271, Tyler, TX, 75373-1912
Phone Number
903-877-7777
Fax Number
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
720673 01 TX NURSE PRACTITIONER LICENS
institution
Provider Business Practice Location Address Details
Address
11937 Us Highway 271
City
Tyler
State
Texas
Zip
75708-3154
Phone Number
903-877-7777
Fax Number
person
Provider Business Mailing Address Details
Address
11937 Us Highway 271
City
Tyler
State
Texas
Zip
75708-3154
Phone Number
903-877-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
720673 (Texas)
Definition
Definition to come...
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