Individual
MS. SUSAN I GABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC, MSN
Contact information
Practice address
3003 N CENTRAL AVE, PHOENIX, AZ 85012-2902
(480) 352-1439
Mailing address
3003 N CENTRAL AVE, PHOENIX, AZ 85012-2902
(480) 352-1439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2078
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103763
—
AZ
Enumeration date
11/01/2006
Last updated
07/24/2015
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