Provider Demographics
NPI:1144350786
Name:MEHALSKI, GAIL CRYSTAL (RN, BSW)
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:CRYSTAL
Last Name:MEHALSKI
Suffix:
Gender:F
Credentials:RN, BSW
Other - Prefix:MISS
Other - First Name:GAIL
Other - Middle Name:CRYSTAL
Other - Last Name:PARENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4667 PERSIMMON DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-5224
Mailing Address - Country:US
Mailing Address - Phone:989-793-9221
Mailing Address - Fax:
Practice Address - Street 1:600 IRVING STREET
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602
Practice Address - Country:US
Practice Address - Phone:989-583-6018
Practice Address - Fax:989-583-6611
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801057669104100000X
MI4704101026163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care