Healthcare Provider Details

I. General information

NPI: 1144350786
Provider Name (Legal Business Name): GAIL CRYSTAL MEHALSKI RN, BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GAIL CRYSTAL PARENT RN

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 IRVING STREET
SAGINAW MI
48602
US

IV. Provider business mailing address

4667 PERSIMMON DR
SAGINAW MI
48603-5224
US

V. Phone/Fax

Practice location:
  • Phone: 989-583-6018
  • Fax: 989-583-6611
Mailing address:
  • Phone: 989-793-9221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801057669
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number4704101026
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: