Provider Demographics
NPI:1316226244
Name:DENNING, GINA M (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:M
Last Name:DENNING
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16906 DOOLITTLE CIR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92518-2885
Mailing Address - Country:US
Mailing Address - Phone:801-455-7716
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 7549
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92513-7549
Practice Address - Country:US
Practice Address - Phone:951-358-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA511989163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1255407847Medicaid