Individual
GABRIELA KIM NUCKOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
609 MEDICAL CENTER DR, DECATUR, TX 76234-3836
(770) 643-5619
Mailing address
4754 EMERALD TRACE WAY, FORT WORTH, TX 76244-6951
(682) 215-8219
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127882
TX
Other
Enumeration date
02/16/2015
Last updated
03/27/2018
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