Provider Demographics
NPI:1437374170
Name:FEOLE, GAYLE M (RN)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:M
Last Name:FEOLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LEONARD AVE
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01835-7919
Mailing Address - Country:US
Mailing Address - Phone:978-372-4262
Mailing Address - Fax:
Practice Address - Street 1:14 LEONARD AVE
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:MA
Practice Address - Zip Code:01835-7919
Practice Address - Country:US
Practice Address - Phone:978-372-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232220163WH0200X, 163WM0102X, 163WN0003X, 163WP0200X, 163WP1700X, 163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome Health
Not Answered163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
Not Answered163WN0003XNursing Service ProvidersRegistered NurseNeonatal, Low-Risk
Not Answered163WP0200XNursing Service ProvidersRegistered NursePediatrics
Not Answered163WP1700XNursing Service ProvidersRegistered NursePerinatal
Not Answered163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0365441Medicaid