Provider Demographics
NPI:1174905046
Name:GAUS, BETH (CRNP)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:GAUS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 TUSCARAWAS RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1225
Mailing Address - Country:US
Mailing Address - Phone:724-944-6047
Mailing Address - Fax:
Practice Address - Street 1:30 HIGH ST
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:PA
Practice Address - Zip Code:15223-1954
Practice Address - Country:US
Practice Address - Phone:412-782-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-26
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015051363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily