Provider Demographics
NPI:1508149725
Name:WOLD, GAIL BARBER (RN)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:BARBER
Last Name:WOLD
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 1:43 TURNER DR
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1930
Mailing Address - Country:US
Mailing Address - Phone:585-617-2380
Mailing Address - Fax:585-352-9131
Practice Address - Street 1:43 TURNER DR
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14559-1930
Practice Address - Country:US
Practice Address - Phone:585-617-2380
Practice Address - Fax:585-352-9131
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22438622163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool