Carrie Anne Gast, RN

Individual provider Active NPI Registered Nurse · Ladera Ranch, CA

NPI 1174968481 · NPPES record last updated May 1, 2013

Key facts

NPI
1174968481
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
584005 (CA)
Practice address
4 Hinterland Way
Ladera Ranch, CA 92694-1246
Phone
(949) 429-1863
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
584005CAMDProsthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 584005 CA Yes

Addresses

Primary practice location

4 Hinterland Way
Ladera Ranch, CA 92694-1246

Mailing address

4 Hinterland Way
Ladera Ranch, CA 92694-1246
Phone (949) 429-1863

Other providers in Ladera Ranch, CA

All providers in Ladera Ranch, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.