Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE M. GAVIN, GNP, BC
ActiveMICHELLE M. GAVIN, GNP, BC is a Gerontological Nurse Practitioner healthcare provider located in TOMAH, Wisconsin. NPI 1467749184 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · TOMAH, WI
Registration Details
- NPI Number
- 1467749184
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2011 (15.077481693062 yrs)
- Last Updated
- Oct 3, 2022
- Licenses
-
2057 (WI)2057 (WI)
Practice Information
- Address
-
505 GOPHER DRTOMAH, WI, 546604513Browse WI providers · Browse ZIP 54660
- Phone
- 6083724111
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.