Provider Demographics
NPI:1245002856
Name:GAICH, CARA NICOLLE (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:CARA
Middle Name:NICOLLE
Last Name:GAICH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 COUNTY ROAD 39B
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:43910-6807
Mailing Address - Country:US
Mailing Address - Phone:304-374-5227
Mailing Address - Fax:
Practice Address - Street 1:229 COUNTY ROAD 39B
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:OH
Practice Address - Zip Code:43910-6807
Practice Address - Country:US
Practice Address - Phone:304-374-5227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0035259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily