Basic Information
Provider Information
NPI: 1447264320
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NADEL
FirstName: GAYLE
MiddleName: H.
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 607 IDOL ST
Address2:  
City: HIGH POINT
State: NC
PostalCode: 272627804
CountryCode: US
TelephoneNumber: 3368022407
FaxNumber: 3368022401
Practice Location
Address1: 624 QUAKER LN
Address2: SUITE 100D
City: HIGH POINT
State: NC
PostalCode: 272623832
CountryCode: US
TelephoneNumber: 3368022090
FaxNumber: 3368022091
Other Information
ProviderEnumerationDate: 07/28/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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