SHAWN GAUVIN


Address: 18128 Cedar Island Blvd, Brownstown, MI 48174-9582
Phone: 3135493570

SHAWN GAUVIN (NPI# 1417302472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417302472
Entity Type Individual
Full Name SHAWN GAUVIN
Credential AG-ACNP
Practice Address 18128 Cedar Island Blvd
Brownstown
MI 48174-9582
Practice Telephone 3135493570
Mailing Telephone 3135493570
Enumeration Date 2016-04-27
Last Update Date 2016-04-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
4704212742 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 18128 CEDAR ISLAND BLVD
City BROWNSTOWN
State MI
Zip Code 48174-9582

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1790176790 Dylan Marie Feil Social Worker 37300 Wick Rd, Romulus, MI 48174 2015-02-11
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City BROWNSTOWN
Zip Code 48174

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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