Provider Demographics
NPI:1295215929
Name:GAUDIN, ADERO (DNP, FNP-BC, ONC)
Entity type:Individual
Prefix:DR
First Name:ADERO
Middle Name:
Last Name:GAUDIN
Suffix:
Gender:F
Credentials:DNP, FNP-BC, ONC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5318
Mailing Address - Country:US
Mailing Address - Phone:347-556-8843
Mailing Address - Fax:
Practice Address - Street 1:815 BROADWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5318
Practice Address - Country:US
Practice Address - Phone:646-614-8200
Practice Address - Fax:646-614-8386
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY664772163WM0705X, 163WX0800X
NY343530363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic