Individual provider · Type 1 NPI
Tina Gayle Canada, RN BSN
Diabetes Educator Registered Nurse · Monmouth, IL
NPI number
1508396045
Active
Practice location
1000 W Harlem Ave
Monmouth, IL 61462-1007
Mailing address
1493 90th St
Monmouth, IL 61462-8815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 041-218084 (IL) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1508396045
Tina Gayle Canada, RN BSN's National Provider Identifier is 1508396045, issued on Jun 18, 2017. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Monmouth, IL. The record was last updated on Jun 18, 2017.