Provider Demographics
NPI:1104267251
Name:DAY, GWENDOLYN (CRNP, DNP)
Entity type:Individual
Prefix:MISS
First Name:GWENDOLYN
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:CRNP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 GOVERNMENT BLVD STE 408
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-4362
Mailing Address - Country:US
Mailing Address - Phone:251-602-1911
Mailing Address - Fax:251-602-1850
Practice Address - Street 1:735 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36603-1301
Practice Address - Country:US
Practice Address - Phone:251-433-2642
Practice Address - Fax:251-433-2642
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-074486163WG0100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology