Provider Demographics
NPI:1902665714
Name:GAUGER, NATALIE LOUISE (MS, CNS)
Entity type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:LOUISE
Last Name:GAUGER
Suffix:
Gender:F
Credentials:MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 SARAZEN DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-8742
Mailing Address - Country:US
Mailing Address - Phone:843-212-6256
Mailing Address - Fax:
Practice Address - Street 1:1420 SHUCKER CIR APT 416
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4973
Practice Address - Country:US
Practice Address - Phone:843-860-4782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18924133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist