Provider Demographics
NPI:1013952399
Name:GLOECKLER, GAIL A (RN)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:A
Last Name:GLOECKLER
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 1:209 UNION ST
Mailing Address - Street 2:UNIT #6
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-3263
Mailing Address - Country:US
Mailing Address - Phone:973-777-7910
Mailing Address - Fax:
Practice Address - Street 1:516 VALLEY BROOK AVE
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1930
Practice Address - Country:US
Practice Address - Phone:201-935-3322
Practice Address - Fax:201-935-9196
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO05042300163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology