Provider Demographics
NPI:1740408566
Name:GILL, NADIA CHENELL (BA BHT, NAC)
Entity type:Individual
Prefix:MS
First Name:NADIA
Middle Name:CHENELL
Last Name:GILL
Suffix:
Gender:F
Credentials:BA BHT, NAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29778 N RED SAND WAY
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85243-6145
Mailing Address - Country:US
Mailing Address - Phone:480-458-7388
Mailing Address - Fax:
Practice Address - Street 1:29778 N RED SAND WAY
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85243-6145
Practice Address - Country:US
Practice Address - Phone:480-458-7388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker