Individual
MS. GAIL FAY MICHAELIS-OW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1119 PACIFIC AVE, SUITE 200, SANTA CRUZ, CA 95060-7503
(831) 426-5550
(831) 426-1178
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 287-7532
(408) 287-0405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN258572
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN 258572
CA
Other
Enumeration date
08/31/2006
Last updated
07/25/2007
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