Provider Demographics
NPI:1154542421
Name:GASKELL, EUNICE ELIZABETH (RN CWOCN)
Entity type:Individual
Prefix:MRS
First Name:EUNICE
Middle Name:ELIZABETH
Last Name:GASKELL
Suffix:
Gender:F
Credentials:RN CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 ESPANA LANE
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355
Mailing Address - Country:US
Mailing Address - Phone:209-529-3561
Mailing Address - Fax:209-576-3910
Practice Address - Street 1:1441 FLORIDA AVE
Practice Address - Street 2:DOCTORS MEDICAL CENTER
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95352
Practice Address - Country:US
Practice Address - Phone:209-576-3851
Practice Address - Fax:209-576-3910
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130561163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse