JUSTIN GRANT GATEWOOD RN
NPI 1053950683
Registered Nurse - Home Health in Painesville, OH
Active since December 30, 2019
About Justin Grant Gatewood Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN GRANT GATEWOOD RN (NPI 1053950683) is an individual home health provider in Painesville, Ohio, licensed in Ohio (416010) and active in the NPI registry since December 2019.
NPPES Registry Identity
NPI1053950683
Entity TypeIndividualMale
Primary Taxonomy163WH0200X
Provider Legal NameJUSTIN GRANT GATEWOODCredential: RN
Location Address664 LIBERTY STPainesville, OH 44077-3661
Mailing Address664 Liberty StPainesville, OH 44077-3661 · (440) 251-1854
Phone(440) 251-1854
Sole ProprietorYes
Enumeration DateDecember 30, 2019
✔ NPI 1053950683 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in OH · 416010
664 LIBERTY ST, Painesville, OH 44077
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053950683, enumerated as an "individual" on December 30, 2019.
The provider is located at 664 LIBERTY ST PAINESVILLE, OH 44077 and the phone number is (440) 251-1854.
Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.
