Provider Demographics
NPI:1851404065
Name:FARIA, GAIL E (APRN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:E
Last Name:FARIA
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Gender:F
Credentials:APRN, FNP
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Mailing Address - Street 1:1709 KY RTE 321
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-9101
Mailing Address - Country:US
Mailing Address - Phone:606-886-8546
Mailing Address - Fax:606-886-8548
Practice Address - Street 1:835 PARKWAY DRIVE
Practice Address - Street 2:HOPE FAMILY MEDICAL CENTER
Practice Address - City:SALYERSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41465-0157
Practice Address - Country:US
Practice Address - Phone:606-349-5126
Practice Address - Fax:606-349-5123
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3004948363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78017845Medicaid
KY0258140Medicare PIN