Patricia Ann Gasaway, LPN
Licensed Practical Nurse in Portage, MI. Individual provider (NPI-1).
NPI number1346732112
StatusActive
Last updated in NPPESJun 6, 2018
Details
- NPI
- 1346732112
- Entity type
- Individual (NPI-1)
- Name
- Patricia Ann Gasaway
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2018
- Last updated
- Jun 6, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703043025 | MI | Yes |
Practice location
524 W Centre AvePortage, MI 49024-5306
Phone 269-324-1180
Mailing address
8006 E W AveVicksburg, MI 49097-9202
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Licensed Practical Nurse providers in Portage · All 1,955 providers in Portage
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