MRS. GINA OTHEA HARRELL
NPI 1699847681
Registered Nurse - Administrator in Woodland, CA
Active since November 14, 2006
825 EAST ST, SUITE 302, WOODLAND, CA 95776(530) 402-2800(530) 402-2809 Get Directions Write a Review
About Mrs. Gina Othea Harrell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. GINA OTHEA HARRELL (NPI 1699847681) is an individual administrator provider in Woodland, California, licensed in California (514741) and active in the NPI registry since November 2006.
NPPES Registry Identity
NPI1699847681
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameMRS. GINA OTHEA HARRELL
Location Address825 EAST ST, SUITE 302Woodland, CA 95776-4976
Mailing Address200 Dragonfly CirSacramento, CA 95834-2611 · (916) 928-9132
Phone(530) 402-2800
Fax(530) 402-2809
Sole ProprietorYes
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699847681 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in CA · 514741
825 EAST ST, Woodland, CA 95776
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
825 EAST ST, SUITE 302
WOODLAND, CA 95776
WOODLAND, CA 95776
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699847681, enumerated as an "individual" on November 14, 2006.
The provider is located at 825 EAST ST SUITE 302 WOODLAND, CA 95776 and the phone number is (530) 402-2800.
Registered Nurse with taxonomy code 163WA2000X and a focus in Administrator.
