Individual
FATIMA GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2415 FRANKLIN AVE, SECANE, PA 19018-2825
(267) 230-8854
Mailing address
2415 FRANKLIN AVE, SECANE, PA 19018-2825
(267) 230-8854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP030621
PA
363LF0000X
Family Nurse Practitioner
SP030621
PA
Other
Enumeration date
09/10/2024
Last updated
01/17/2025
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