Provider Demographics
NPI:1427353556
Name:ADJEI, GLORIA (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:
Last Name:ADJEI
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:4735 S SOUTHWIND DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-1973
Mailing Address - Country:US
Mailing Address - Phone:614-900-6111
Mailing Address - Fax:
Practice Address - Street 1:4735 S SOUTHWIND DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-1973
Practice Address - Country:US
Practice Address - Phone:149-006-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN112450164W00000X
AZ177079163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse