Provider Demographics
NPI:1215349741
Name:STEARLEY, GAIL (FNP)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:STEARLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3076
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86003-3076
Mailing Address - Country:US
Mailing Address - Phone:928-301-4416
Mailing Address - Fax:
Practice Address - Street 1:710 N BEAVER ST BLDG 6
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3148
Practice Address - Country:US
Practice Address - Phone:928-527-4325
Practice Address - Fax:928-527-3427
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5613363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily