Provider Demographics
NPI:1306935598
Name:GAUSS, JUANITA (RN)
Entity type:Individual
Prefix:MS
First Name:JUANITA
Middle Name:
Last Name:GAUSS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DCO 168TH MED BN
Mailing Address - Street 2:UNIT 15021 BOX A38
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96218
Mailing Address - Country:KR
Mailing Address - Phone:764-4819
Mailing Address - Fax:
Practice Address - Street 1:DCO 168TH MED BN
Practice Address - Street 2:UNIT 15021 BOX A38
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96218
Practice Address - Country:KR
Practice Address - Phone:764-4819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO082691163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health