Stuart V Gauld, REGISTERED NURSE

Individual provider Active NPI Registered Nurse · Greenwood, MO

NPI 1831994052 · NPPES record last updated Feb 13, 2025

Key facts

NPI
1831994052
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
2006031790 (MO)
Practice address
604 Savannah Dr
Greenwood, MO 64034-8984
Phone
(816) 536-5338
NPI assigned
Feb 13, 2025
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

State licenses

LicenseStateTypeSpecialty
2006031790MOMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2006031790 MO Yes

Addresses

Primary practice location

604 Savannah Dr
Greenwood, MO 64034-8984

Mailing address

604 Savannah Dr
Greenwood, MO 64034-8984
Phone (816) 536-5338

Other providers in Greenwood, MO

All providers in Greenwood, MO · Registered Nurse in Missouri

Sources for this page

Verify at the official NPI Registry.