Individual
GABRIELLE B NELLENBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1676 SUNSET AVE, UTICA, NY 13502-5416
(315) 624-4690
(315) 624-4840
Mailing address
2209 GENESEE ST., BUSINESS OFFICE, UTICA, NY 13501-5930
(315) 801-4238
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344577
NY
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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