Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHY GAVIN, FNP
ActiveKATHY GAVIN, FNP is a Nurse Practitioner healthcare provider located in PONDERAY, Idaho. NPI 1770598559 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · PONDERAY, ID
Registration Details
- NPI Number
- 1770598559
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2006 (20.03870832559 yrs)
- Last Updated
- Dec 13, 2007
- License
-
NP-257A (ID)
Practice Information
- Address
-
30410 HIGHWAY 200PONDERAY, ID, 838529601Browse ID providers · Browse ZIP 83852
- Phone
- 2082631345
- Fax
- 2082555531
- Primary Specialty
-
Nurse Practitioner
363L00000X
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.