Provider Demographics
NPI:1841404266
Name:GEHRLS, PATRICIA JANE
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JANE
Last Name:GEHRLS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:JANE
Other - Last Name:RIGGLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:25278 CO HWY 26
Mailing Address - Street 2:
Mailing Address - City:CALLAWAY
Mailing Address - State:MN
Mailing Address - Zip Code:56521
Mailing Address - Country:US
Mailing Address - Phone:218-375-4201
Mailing Address - Fax:
Practice Address - Street 1:106 NORTH 4TH AVENUE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-1034
Practice Address - Country:US
Practice Address - Phone:218-998-3778
Practice Address - Fax:218-998-3187
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL0400587164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse