person
Ms. Elaine Marie Gackle, NP
Family Nurse Practitioner in San Bernardino, California
NPI 1093789000

Elaine Marie Gackle is a Family Nurse Practitioner based in Grand Terrace, CA and is specialized in Family. Elaine Marie Gackle practices in San Bernardino, CA and has the professional credentials of NP. The NPI Number for Elaine Marie Gackle is 1093789000 and holds a License No. NP376074 (California).

The current practice location address for Elaine Marie Gackle is 742 W Highland Ave, San Bernardino, CA and can be reached out via phone at 909-213-0001 and via fax at 909-386-1882. You can also correspond with Elaine Marie Gackle through the mailing address at 23021 JENSEN CT, GRAND TERRACE, CA - 92313-5579 (mailing address contact number: 909-783-7933).

Location: 742 W Highland Ave, San Bernardino, CA, 92313-5579
person
Provider Profile Details
NPI Number
1093789000
Provider Name
Elaine Marie Gackle
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
742 W Highland Ave, San Bernardino, CA, 92313-5579
Phone Number
909-213-0001
Fax Number
909-386-1882
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RNP376074 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
742 W Highland Ave
City
State
Zip
92405-3839
Phone Number
909-213-0001
Fax Number
909-386-1882
person
Provider Business Mailing Address Details
Address
742 W Highland Ave
City
State
Zip
92405-3839
Phone Number
909-213-0001
Fax Number
909-386-1882
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP376074 (California)
Definition
Definition to come...
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