Provider Demographics
NPI:1013634351
Name:ANAEKWE, GAIL E I
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:E
Last Name:ANAEKWE
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HERBERT LN
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-3824
Mailing Address - Country:US
Mailing Address - Phone:860-994-0265
Mailing Address - Fax:
Practice Address - Street 1:15 HERBERT LN
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-3824
Practice Address - Country:US
Practice Address - Phone:860-994-0265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health