Janelle Dawn Gaddis, NP-C
Individual provider Active NPI Family Nurse Practitioner · Winslow, AZ
NPI 1437576980 · NPPES record last updated Jan 10, 2016
Key facts
- NPI
- 1437576980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP5407 (AZ)
- Practice address
- 2100 S Highway 87
Winslow, AZ 86047-9789 - Phone
- (928) 289-9551
- NPI assigned
- Mar 22, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP5407 | AZ | Yes |
Addresses
Primary practice location
2100 S Highway 87
Winslow, AZ 86047-9789
Mailing address
2100 S Highway 87
Winslow, AZ 86047-9789
Phone (928) 289-9551
Other providers in Winslow, AZ
- Alexia Simao Fernandes
- Jacqueline Fountain
- Jessica L Fugatt
- Veronica Fuson
- Melanie Gable
- Rosa Idalia Gallegos
- Gardner Dental LLC
- Benjamin J Gardner
- Brent Jacob Gardner
- Merih Estifanos Gebrezgiabher
All providers in Winslow, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.