Provider Demographics
NPI:1740263755
Name:GAINEY, FLORDELIZA TOLENTINO (PA-C)
Entity type:Individual
Prefix:MS
First Name:FLORDELIZA
Middle Name:TOLENTINO
Last Name:GAINEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:FLORDELIZA
Other - Middle Name:SERRANO
Other - Last Name:TOLENTINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:122 3RD STREET NE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002
Mailing Address - Country:US
Mailing Address - Phone:253-833-7750
Mailing Address - Fax:
Practice Address - Street 1:122 3RD STREET NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002
Practice Address - Country:US
Practice Address - Phone:253-833-7750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00155870163W00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No163W00000XNursing Service ProvidersRegistered Nurse