Individual
SARAH GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2276958
MA
363LP0200X
Pediatric Nurse Practitioner
6050
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110126587A
—
MA
Enumeration date
01/13/2015
Last updated
07/21/2022
Update your record
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