Individual
GABRIELLE KUPERAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 CHEW ST, ALLENTOWN, PA 18102-3648
(610) 402-8000
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN689142
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN689142
PA
Other
Enumeration date
06/26/2023
Last updated
02/13/2024
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