Doctor Name: | NICHOLE GAMEZ |
NPI Number: | 1255788378 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 776897 |
Business Practice Address: | 811 Ann Dr. Wylie, TX - 75098 |
Business Phone Number: | 4693600924 |
Business Fax Number: | |
Mailing Address: | 811 Ann Dr., WYLIE |
State: | TX |
Postal Code: | 75098 |
Phone Number: | 4693600924 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2016 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 776897 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |