Provider Demographics
NPI:1255408431
Name:WEATHERFORD, GAIL MCLODA (FNP)
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:MCLODA
Last Name:WEATHERFORD
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:12906 RED CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4810
Mailing Address - Country:US
Mailing Address - Phone:804-744-8162
Mailing Address - Fax:804-828-5466
Practice Address - Street 1:1250 E. MARSHALL STREET
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0447
Practice Address - Country:US
Practice Address - Phone:804-828-0381
Practice Address - Fax:804-828-5466
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024086160363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily