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Bryan Keith Gauck, LPN
Licensed Practical Nurse in Lacey, Washington
NPI 1790550333

Bryan Keith Gauck is a Licensed Practical Nurse based in Silver Springs, WA. Bryan Keith Gauck practices in Lacey, WA and has the professional credentials of LPN. The NPI Number for Bryan Keith Gauck is 1790550333 and holds a License No. 2029637 (Washington).

The current practice location address for Bryan Keith Gauck is 4200 6Th Ave Se Ste 201, Lacey, WA and can be reached out via phone at 360-459-8311.

Location: 4200 6Th Ave Se Ste 201, Lacey, WA, 89429-1035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790550333
Provider Name
Bryan Keith Gauck
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
4200 6Th Ave Se Ste 201, Lacey, WA, 89429-1035
Phone Number
360-459-8311
Fax Number
Provider Enumeration Date
11/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4200 6Th Ave Se Ste 201
City
Lacey
State
Washington
Zip
98503-1042
Phone Number
360-459-8311
Fax Number
person
Provider Business Mailing Address Details
Address
4200 6Th Ave Se Ste 201
City
Lacey
State
Washington
Zip
98503-1042
Phone Number
360-459-8311
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
2029637 (Kentucky)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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