Individual
TRICIA DECONTEE GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2500 UNIVERSITY AVE, DES MOINES, IA 50311-4504
(515) 710-6856
Mailing address
2500 UNIVERSITY AVE, DES MOINES, IA 50311-4504
(515) 710-6856
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
G179302
IA
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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