Provider Demographics
NPI:1023353687
Name:MCNALLY, GINA LEIGH
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:LEIGH
Last Name:MCNALLY
Suffix:
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 1:2501 COBBLE HILL CT
Mailing Address - Street 2:UNIT C
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4029
Mailing Address - Country:US
Mailing Address - Phone:651-890-9613
Mailing Address - Fax:
Practice Address - Street 1:2501 COBBLE HILL CT
Practice Address - Street 2:UNIT C
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4029
Practice Address - Country:US
Practice Address - Phone:651-890-9613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula