Provider Demographics
NPI:1942813308
Name:GASKILL, LEIGH ANN (RN)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:GASKILL
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 1:5070 RITTER RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-4879
Mailing Address - Country:US
Mailing Address - Phone:717-590-1525
Mailing Address - Fax:717-697-2564
Practice Address - Street 1:5070 RITTER RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4879
Practice Address - Country:US
Practice Address - Phone:717-590-1525
Practice Address - Fax:717-697-2564
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA661107163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse