MEDICARE: NICOLE L GAITHER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	251E00000X	Home Health Agency
3	174200000X	Meals Provider

General Provider Information

NPI Number	:	1225903420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE L GAITHER

Provider Business Mailing Address
First Line	:	1043 PITKIN AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-1415
Country	:	US
Telephone Number	:	330-760-3038
Fax Number	:

Provider Business Practice Location Address
First Line	:	1043 PITKIN AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-1415
Country	:	US
Telephone Number	:	330-760-3038
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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Directions to “ NICOLE L GAITHER ” Practice Location

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