Individual
MS. GAIL PIELACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
RWBAHC, 2240 WINROW RD, FORT HUACHUCA, AZ 85613
(520) 533-9033
Mailing address
2240 E WINROW AVE, FORT HUACHUCA, AZ 85613
(480) 862-4338
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
AP2284
AZ
363L00000X
Nurse Practitioner
Primary
AP2284
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119339
MEDICARE ID
—
01
—
AP2284
LICENSE #
AZ
Enumeration date
07/11/2006
Last updated
04/01/2025
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