Gary Wilson Barsuaskas, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Arcata, CA
NPI 1194089805 · NPPES record last updated Jul 5, 2012
Key facts
- NPI
- 1194089805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 582770/12889 (CA)
- Practice address
- 4677 Valley West Blvd.
Arcata, CA 95521 - Phone
- (707) 822-5244
- Fax
- (707) 822-5442
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 582770/12889 | CA | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | 582770/12889 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 582770/12889 | CA | Yes |
Addresses
Primary practice location
4677 Valley West Blvd.
Arcata, CA 95521
Mailing address
PO Box 362
Cutten, CA 95534
Phone (707) 616-9086
Other providers in Arcata, CA
- Jessica Baker
- Donna Elaine Bankson
- Melanie K Barnett
- Anastasia Barron
- Trish Alayne Barsanti
- Corinne Vivian Basch
- Connie Arlene Bauman
- Sonia R Bautista
- Bay Surgeons Medical Group
- Jerome Bearbower
All providers in Arcata, CA · Adult Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.