Provider Demographics
NPI:1427477538
Name:EAGLETON, GUNILLA II (RN)
Entity type:Individual
Prefix:MISS
First Name:GUNILLA
Middle Name:
Last Name:EAGLETON
Suffix:II
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:SONOITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85637-0252
Mailing Address - Country:US
Mailing Address - Phone:520-383-7200
Mailing Address - Fax:520-383-7404
Practice Address - Street 1:6200 N LA CHOLLA BLVD
Practice Address - Street 2:NW MEDICAL CENTER
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-0252
Practice Address - Country:US
Practice Address - Phone:520-383-7200
Practice Address - Fax:520-383-7404
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN095506163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency