Individual
GAEBRIELLE OPAL PRICHODKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8220 NAAB RD STE 101, INDIANAPOLIS, IN 46260-1933
(317) 415-9590
Mailing address
8220 NAAB RD STE 101, INDIANAPOLIS, IN 46260-1933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28230897A
IN
363LF0000X
Family Nurse Practitioner
Primary
71015053A
IN
Other
Enumeration date
03/07/2024
Last updated
04/17/2024
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