Doctor Name: | GAYLENE O WALL |
NPI Number: | 1538495262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNA |
License Number: | UT000212840909 |
Business Practice Address: | 6393 W 4600 S Hooper, UT - 843156753 |
Business Phone Number: | 8019857585 |
Business Fax Number: | |
Mailing Address: | 6393 W 4600 S, HOOPER |
State: | UT |
Postal Code: | 843156753 |
Phone Number: | 8019857585 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2009 |
NPI Last Update Date: | 10/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | UT000212840909 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |