Doctor Name: | MRS. NICOLE GAMA |
NPI Number: | 1033422977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 631482 |
Business Practice Address: | 694 Breezewood Ln Orwell, OH - 440768374 |
Business Phone Number: | 4404372009 |
Business Fax Number: | |
Mailing Address: | 694 Breezewood Ln, ORWELL |
State: | OH |
Postal Code: | 440768374 |
Phone Number: | 4404372009 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2010 |
NPI Last Update Date: | 07/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 631482 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |