Most Relevant Information
Provider Data
| NPI Number: | 1003689639 |
| Provider Name: | NADINE GAINES |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | 9601671 |
Most Important Dates
| Enumeration Date: | 11/06/2023 |
| Last Updated: | 11/06/2023 |
Provider Practice Location
1539 W BUTLER ST
PHILADELPHIA
PA
191403635
Practice Location Phone/Fax
| Phone: | 2677791390 |
| Fax: |
Provider Mailing Location
1539 W BUTLER ST
PHILADELPHIA
PA
191403635
Provider Mailing Phone/Fax
| Phone: | 2677791390 |
| Fax: |