Provider Demographics
NPI:1356619712
Name:NOLAN, GAIL LYNNE (RN, LAC)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:LYNNE
Last Name:NOLAN
Suffix:
Gender:F
Credentials:RN, LAC
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:LYNNE
Other - Last Name:STANSFIELD-NOLAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, LAC
Mailing Address - Street 1:84 LANCIA DR
Mailing Address - Street 2:
Mailing Address - City:EAST NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:11732
Mailing Address - Country:US
Mailing Address - Phone:516-749-3985
Mailing Address - Fax:
Practice Address - Street 1:91 SEARINGTOWN RD
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1125
Practice Address - Country:US
Practice Address - Phone:516-621-7072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 301038163W00000X
NY002452171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse