Individual
GABRIELLA ATHENA VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2544 COURT DR STE G, GASTONIA, NC 28054-3450
(704) 854-9990
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5021429
NC
Other
Enumeration date
03/16/2023
Last updated
08/08/2025
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