Provider Demographics
NPI:1083691075
Name:SADLER, GAIL MARIE (DNP,MSN,ARNP-BC)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:MARIE
Last Name:SADLER
Suffix:
Gender:F
Credentials:DNP,MSN,ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9756 62ND AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33708-4516
Mailing Address - Country:US
Mailing Address - Phone:727-776-1678
Mailing Address - Fax:
Practice Address - Street 1:11018 N DALE MABRY HWY STE 401
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-3804
Practice Address - Country:US
Practice Address - Phone:813-961-9393
Practice Address - Fax:813-960-9020
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1320912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE3955Medicare ID - Type Unspecified