NPI 1013552777

Carli R Gaynor

Practitioner Attendant Care Provider Simpson, PA

Practice location

Address: 355 Jefferson St, Simpson, PA 18407-1213
Phone: (570) 604-2838
Mailing address: 242 Hudson St, Forest City, PA 18421-1410

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1013552777
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2019
Record last updated: 16 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.