Provider Demographics
NPI:1215793815
Name:GASKILL, AMY MARIE (DOULA)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:GASKILL
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 ROCKY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:95524-9365
Mailing Address - Country:US
Mailing Address - Phone:707-599-5236
Mailing Address - Fax:
Practice Address - Street 1:70 ROCKY CREEK RD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:CA
Practice Address - Zip Code:95524-9365
Practice Address - Country:US
Practice Address - Phone:707-599-5236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-22
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula