Individual
GABRIELE M GERTEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2250 S WOODWORTH LOOP, SUITE 202, PALMER, AK 99645-7412
(907) 761-5800
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
326
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023179
—
AK
Enumeration date
07/18/2006
Last updated
09/30/2020
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