Individual
MS. MILDRED ANN GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LNC
Contact information
Practice address
508 AIRPORT EXECUTIVE PK, NANUET, NY 10954
(845) 346-0712
Mailing address
805 WINTERTON RD, MIDDLETOWN, NY 10940-7480
(347) 331-1807
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
258890
NY
163WC1500X
Community Health Registered Nurse
258890
NY
163WH0200X
Home Health Registered Nurse
Primary
258890
NY
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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