NPI 1164441788

Ricky Paul Gault, CRNA

Practitioner Certified Registered Nurse Anesthetist Amory, MS

Practice location

Address: 1105 Earl Frye Blvd, Amory, MS 38821-5500
Phone: (662) 256-7111
Mailing address: 123 Main St N, Amory, MS 38821-3416

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R619078 (MS)

Other Nurse Anesthetist, Certified Registered providers in Mississippi →

Registry record

NPI: 1164441788
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 30 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.