Provider Demographics
NPI:1023166295
Name:VANARK, GAIL (MS, ARNP)
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:
Last Name:VANARK
Suffix:
Gender:F
Credentials:MS, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 OVERLOOK DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2830
Mailing Address - Country:US
Mailing Address - Phone:603-673-7910
Mailing Address - Fax:603-673-7991
Practice Address - Street 1:82 CARRIAGE RD
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:NH
Practice Address - Zip Code:03070-5137
Practice Address - Country:US
Practice Address - Phone:603-487-2044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH026526-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily