Elaine Marie Gackle in Grand Terrace - Family
Elaine Marie Gackle - NPI 1093789000
Elaine Marie Gackle is a Family in Grand Terrace, California. Elaine Marie Gackle practices all healthcare services and medical treatments related to Family. The NPI Number for Elaine Marie Gackle is 1093789000. The last update date is 2011-10-03.
Elaine Marie Gackle's current location address is 23021 Jensen Ct, Grand Terrace, California. You can contact this provider via phone number 9097837933 and fax number 9097837933. The mailing address for Elaine Marie Gackle is 23021 Jensen Ct, Grand Terrace, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine Marie Gackle |
|---|---|
| Address | 23021 Jensen Ct, Grand Terrace, California |
| Phone Number | 9097837933 |
| Fax Number | 9097837933 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1093789000 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2011-10-03 |
Provider Mailing Address Detail
| Address | 23021 Jensen Ct |
|---|---|
| City | Grand Terrace |
| State | California (CA) |
| Post Code | 923135579 |
| Phone Number | 9097837933 |
| Fax Number | 9097837933 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | NP376074 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RNP376074 | CA | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elaine Marie Gackle?
The Elaine Marie Gackle has been issued the NPI (National Provider Identifier) 1093789000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Elaine Marie Gackle's facilities are geographically located?
The facilities of Elaine Marie Gackle are physically situated at the following location: 23021 Jensen Ct, Grand Terrace, CA, 923135579.
What is the Elaine Marie Gackle's area of specialization and corresponding taxonomy classification?
The Elaine Marie Gackle's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Elaine Marie Gackle receive its 1093789000 assignment from the Centers for Medicare & Medicaid Services?
The Elaine Marie Gackle was assigned its 1093789000 by the Centers for Medicare & Medicaid Services on 2006-02-15.
As of what date were the details related to Elaine Marie Gackle most recently updated or revised?
The information pertaining to Elaine Marie Gackle, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-03.