Individual provider · NPI-1

Nieshia Renee Gaskins

Case Manager/Care Coordinator · Glendale, AZ

NPI number1053147660
StatusActive
Last updated in NPPESSep 10, 2024

Details

NPI
1053147660
Entity type
Individual (NPI-1)
Name
Ms. Nieshia Renee Gaskins
Sex
Female
Sole proprietor
No
Enumeration date
Sep 10, 2024
Certification date
Sep 10, 2024
Last updated
Sep 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

4425 W Olive Ave Ste 301
Glendale, AZ 85302-3851

Phone 623-755-9690 · Fax 623-264-3324

Mailing address

4425 W Olive Ave Ste 301
Glendale, AZ 85302-3851

Phone 623-755-9690 · Fax 623-264-3324

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