Tanis Gault , LPN
Licensed Practical Nurse • Fergus Falls, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tanis Gault has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Tanis Gault, LPN was a registered Licensed Practical Nurse practicing in Fergus Falls, MN. Throughout an active medical career spanning 16 years, Tanis Gault provided care at the practice location at 106 4TH AVE N until profile deactivation on 2024-04-03.
Practice Location & Contact Primary Location
106 4th Ave N
Fergus Falls, MN 565371034
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Fergus Falls, MN
Practicing in Fergus Falls, MN (881 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Licensed Practical Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse
Registered Nurse
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Registered Nurse
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Registered Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 03, 2024
NPI status registered as active in NPPES database
Registered at 106 4TH AVE N, FERGUS FALLS, MN 565371034 (Tel: 2189983778)
Registered at PO BOX 9813, FARGO, ND 58106 (Tel: 7013515553)
Recorded as TANIS GAULT, LPN
Licensed Practical Nurse (License #L0408550 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 9813
Fargo, ND 58106
Phone: 7013515553
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