Healthcare Provider Details

I. General information

NPI: 1891047585
Provider Name (Legal Business Name): GAIL CAREY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2012
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 10TH AVE SE
OLYMPIA WA
98501
US

IV. Provider business mailing address

6437 54TH AVE NW
OLYMPIA WA
98502-9690
US

V. Phone/Fax

Practice location:
  • Phone: 360-349-0033
  • Fax:
Mailing address:
  • Phone: 978-314-4286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number152376
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number152376
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61183717
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: