Individual
GAIL MARY EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3161 L ST, SACRAMENTO, CA 95816-5234
(916) 453-9999
(916) 739-1099
Mailing address
300 PASTEUR DR RM H3630, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01815874
—
NY
Enumeration date
03/28/2006
Last updated
10/08/2018
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