Provider Demographics
NPI:1578378758
Name:ROOT, GAIL SPENCER
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:SPENCER
Last Name:ROOT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 OAK CIR
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-2737
Mailing Address - Country:US
Mailing Address - Phone:831-601-3401
Mailing Address - Fax:
Practice Address - Street 1:306 OAK CIR
Practice Address - Street 2:
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-2737
Practice Address - Country:US
Practice Address - Phone:831-601-3401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula