Individual
GABRIELLE FANTASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(508) 562-2868
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-3739
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2372389
MA
Other
Enumeration date
06/23/2025
Last updated
01/15/2026
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