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NPI Code Detail

MEDICARE: NATALIE JANE GAILEY CNP

MEDICARE: NATALIE JANE GAILEY CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerCOA12935 NPOH
2363LW0102XWomen's Health Nurse PractitionerRN334993 COA1OH

General Provider Information

NPI Number : 1194940791
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE JANE GAILEY CNP
Provider Business Mailing Address
First Line : 500 S TRIMBLE RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44906-4103
Country : US
Telephone Number : 419-756-6000
Fax Number :
Provider Business Practice Location Address
First Line : 500 S TRIMBLE RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44906-4103
Country : US
Telephone Number : 419-756-6000
Fax Number : 419-756-1774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 01/14/2015

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