Provider Demographics
NPI:1093847212
Name:CANFIELD, GAYLE LEE (RN)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:LEE
Last Name:CANFIELD
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:425 5TH AVE NORTH 1ST FL CORDELL
Mailing Address - Street 2:STATE OF TN, TB ELIMINATION PROGRAM
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-0001
Mailing Address - Country:US
Mailing Address - Phone:615-741-5885
Mailing Address - Fax:615-253-1370
Practice Address - Street 1:425 5TH AVE NORTH 1ST FL CORDELL
Practice Address - Street 2:STATE OF TN, TB ELIMINATION PROGRAM
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-0001
Practice Address - Country:US
Practice Address - Phone:615-741-5885
Practice Address - Fax:615-253-1370
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNRN0000029055163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management