Individual
MRS. GABRIELLA TREVINO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
3506 21ST ST, LUBBOCK, TX 79410-1212
(806) 725-4805
(806) 723-7815
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71013044A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
AP126920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341158901
—
TX
01
—
342078100
FIRSTCARE
TX
05
—
67276547
—
NM
01
—
8596NM
BCBS
TX
Enumeration date
11/14/2014
Last updated
09/26/2022
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